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"Our merged department now has a large group of extraordinarily skilled surgeons, taking care of the most complex medical problems," says Noel Testa, MD, Clinical Professor of Orthopedic Surgery, "in addition to an extensive research and training program. We pioneered major innovations in joint replacement and perfected many techniques. But," he emphasizes, "the best reason to come here is that we have the best experts in every specialty. Each patient who comes here gets a comprehensive medical evaluation; we also make sure that the personal relationship with the patient's primary physician is scrupulously maintained. "Close integration of care is essential," he continues. "If someone has severe coronary disease, for example, and also needs joint replacement surgery, we have found that the ideal time for the surgery is soon after the patient undergoes the angioplasty. That patient's arteries are cleaner then -- and therefore it could be the safest time for joint surgery. "Excellent anesthesia care during and after surgery is critical," Dr. Testa adds. "Our anesthesiologists avoid strong anesthetics whenever possible, to minimize any adverse impact on mental function, and they have extensive experience in handling the special needs of older and less healthy patients." All patients also receive intensive physical therapy twice a day, often beginning the evening after surgery. Those who require it receive exceptional follow-up at the Rusk Institute for Rehabilitation Medicine. Optimal postoperative pain management, combined with the physical therapy, significantly accelerates the recovery process.
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