Dr. Peter Attia

that immediately you and Alton started working as a team. And maybe you could talk a little bit about what you guys decided to do in the six, I think it was eight weeks we knew prior to surgery. We scheduled it such that you could do something before then. What was that discussion like?

that immediately you and Alton started working as a team. And maybe you could talk a little bit about what you guys decided to do in the six, I think it was eight weeks we knew prior to surgery. We scheduled it such that you could do something before then. What was that discussion like?

I need to be strong. Basically, I needed to be able to hunt in September. So we backed out of that, said the surgery needs to be no later than March. It was January. And then the question was, should you do the surgery right away or do you use two months to prehab?

I need to be strong. Basically, I needed to be able to hunt in September. So we backed out of that, said the surgery needs to be no later than March. It was January. And then the question was, should you do the surgery right away or do you use two months to prehab?

And so tell me how you thought about that.

And so tell me how you thought about that.

So the things that I remember, which are probably fewer details than what you remember, is one, how much rotator cuff work we did ahead of time, particularly around supraspinatus. So we really got that muscle as strong as possible in eight weeks. Anybody who's gone through that type of rehab, which I'm sure many people listening have, it's uncomfortable.

So the things that I remember, which are probably fewer details than what you remember, is one, how much rotator cuff work we did ahead of time, particularly around supraspinatus. So we really got that muscle as strong as possible in eight weeks. Anybody who's gone through that type of rehab, which I'm sure many people listening have, it's uncomfortable.

I mean, you're burning a little tiny muscle that is not used to working that hard. The second thing that I remember, and hands down the most important thing, was what you and Alton decided to do post-operatively completely shattered everyone's understanding of what we do with these patients. So the traditional view is, especially, this wasn't a slap tear. The entire labrum was hanging by a thread.

I mean, you're burning a little tiny muscle that is not used to working that hard. The second thing that I remember, and hands down the most important thing, was what you and Alton decided to do post-operatively completely shattered everyone's understanding of what we do with these patients. So the traditional view is, especially, this wasn't a slap tear. The entire labrum was hanging by a thread.

And normally, as you said, a surgeon's primary objective is, hey, I'm going to make sure that this is never unstable again. I'm going to cinch this down really tight and you're going to be in a sling for four to six weeks. And that's going to give it plenty of time to heal. All of that sounds great, but you'll never regain your mobility.

And normally, as you said, a surgeon's primary objective is, hey, I'm going to make sure that this is never unstable again. I'm going to cinch this down really tight and you're going to be in a sling for four to six weeks. And that's going to give it plenty of time to heal. All of that sounds great, but you'll never regain your mobility.

You'll never regain the range of motion you want, the healthy range of motion you had. And frankly, you'll probably atrophy away. And so Alton said, no, we're going to have you out of a sling in 24 hours. And I was like, how is that going to be possible? And yet we did. There's no way he could have done that if you guys weren't partnering on this. How is that even possible?

You'll never regain the range of motion you want, the healthy range of motion you had. And frankly, you'll probably atrophy away. And so Alton said, no, we're going to have you out of a sling in 24 hours. And I was like, how is that going to be possible? And yet we did. There's no way he could have done that if you guys weren't partnering on this. How is that even possible?

And why does that fly in the face of everything we would think of?

And why does that fly in the face of everything we would think of?

Truth be told, I learned a lot of that the hard way from my first orthopedic surgery back in 2000 when, A, I'm not even convinced I received post-operative instructions. And if I did, I didn't read them. And I was breaking every rule there was. The stakes were higher here in a way, and I think I was very mindful.

Truth be told, I learned a lot of that the hard way from my first orthopedic surgery back in 2000 when, A, I'm not even convinced I received post-operative instructions. And if I did, I didn't read them. And I was breaking every rule there was. The stakes were higher here in a way, and I think I was very mindful.

For example, people, myself included, when you have surgery, you tend to go on YouTube to learn all about it.

For example, people, myself included, when you have surgery, you tend to go on YouTube to learn all about it.