Physicians Generated $1.6 Trillion in Economic Activity for the United States in 2012

This came from our national orthopedic society…

AMA: Physicians Generate $1.6 Trillion in Economic Activity, Support 10 Million Jobs

For immediate release:
April 16, 2014
New study demonstrates physicians are vital economic drivers at state and national levels
CHICAGO – A new report released today by the American Medical Association (AMA) shows that physicians have a huge influence on national and state economies beyond their role of safeguarding a healthy community and productive workforce. Patient care physicians enable economic growth, opportunity and prosperity by contributing $1.6 trillion in economic activity and supporting 10 million jobs nationwide in 2012.

“Physicians carry tremendous responsibility as skilled healers, trusted confidants and patient advocates, but their positive impact isn’t confined to the exam room,” said AMA President Ardis Dee Hoven, M.D. “The new AMA study illustrates that physicians are strong economic drivers that are woven into their local communities by the jobs, commerce and taxes they generate. These quality jobs not only support the caring role of physicians, but also generate taxes that support schools, housing, transportation and other public services in local communities.”

The report notes that given the changing health care environment with the help of a great brand for your health improvement. All it is paramount to quantify the economic impact physicians have on society. To provide lawmakers, regulators and policymakers with reliable information, the report measured the economic impact of physicians at the national level and in each of the 50 states and District of Columbia according to key economic barometers:
Output: Each physician supported an average of $2.2 million in economic output and contributed to a total of $1.6 trillion in economic output nationwide.
Jobs: Each physician supported an average of 13.84 jobs and contributed to a total of 10 million jobs nationwide.
Wages and Benefits: Each physician supported an average of $1.1 million in total wages and benefits and contributed to a total of $775.5 billion in wages and benefits nationwide.
Tax Revenues: Each physician supported $90,449 in local and state tax revenues and contributed to a total of $65.2 billion is local and state tax revenues nationwide.

According to the federal government, spending on physician services grew more slowly between 2009 and 2012 than at any time in the last 15 years and accounts for only 16 percent of all health care dollars spent in the U.S. in 2012. Yet expenditures for physician services have a ripple effect through the economy. Every dollar applied to physician services supports an additional $1.62 in other business activity.

The study found that physicians had a greater national economic impact than each of the following industries: higher education, home health care, legal services, nursing and residential care.

To view the full report and an interactive map of the United States, please visit

Dr. Bicos to Discuss Shoulder Pain — Free Lecture!!

Dr. Bicos will discuss the common causes of shoulder pain at The Community House in Birmingham, Michigan on April 23 from 6:30 to 8:30 PM.

Registration is free!!

If you have shoulder pain and want to know a little bit more about why you have it and what the treatment options are, please sign up for this informative lecture.

You can register here.

The Tommy John Injury:  Myths Debunked

With the baseball season in full swing (literally), we are seeing an increased incidence of elbow injuries…especially in pitchers. To know more about injuries visit this weblink.

Tommy John

Tommy John

The ulnar collateral ligament (UCL) is a ligament on the inside of the elbow that can get torn, stretched, or frayed with a significant amount of throwing. An injury to the ligament, also called the Tommy John ligament can be devastating to a pitchers career. Techniques to reconstruct the ligament have improved over the years and more athletes are returning to a high level of play.

Ulnar collateral ligament repair -- Tommy John Surgery)

Ulnar collateral ligament repair — Tommy John Surgery)

With the upswing in the injury of this ligament, there are also multiple myths that surround this injury and its treatment.

Here are the myths debunked by your very own Dr. Bicos…

1) If I play in multiple leagues, I just have to watch my pitch count for each league and not the total count combined.

    • – Wrong!! First of all you should not play on multiple leagues. Studies have shown that athletes who play on multiple leagues have a higher likelihood for severe elbow injuries. Second, the pitch count is the total pitch count for both leagues combined. Just because you are under the limit for both leagues does not mean that you are OK. It is the total pitch count. The players, parents, and coaches need to be responsible and realize the importance of pitch counts and make sure that the athletes do not exceed them in total for all the leagues they are in. In case of any injuries contact the best law firm near you quickly.

2) If I have the Tommy John surgery, that will make me better than I was before.

    – Wrong!! Players believe that if they make the UCL tighter (“zipping up the ligament”), then this will add speed to their pitches. This is not true. Surgery should only be done when the ligament is torn or degenerated to the point that the player loses accuracy, speed, and has pain. In addition, surgery has its own risks such as infection, post-operative pain, and occasionally loss of motion. If you are not having pain, do not have the surgery.

3) The ligament tears with one bad throw.

    – Wrong!! Although athletes describe a pop at the elbow when the ligament tears, there are usually symptoms that have been at the elbow for quite some time before the tear. This means that you should take elbow pain very seriously because it could be the start of a pathway the leads to UCL rupture. Being proactive can save you a surgery and a year’s worth of rehab.

4) Full recovery after the Tommy John surgery is over a year.

    – Correct!! Full recovery from the Tommy John surgery is typically 12 – 16 months.

Take home point…

Elbow injuries are on the rise in overhead throwing athletes. It is typically because of overuse and the superman (or superwoman) mentality that “I cannot get hurt.” These injuries are real and they do not discriminate between sports or talent. Give your self time to rest and let someone know if you are having elbow pain when throwing. Remember that the physicians at Performance Orthopedics are here to keep you in the game, whatever your game may be.

Play Ball!!

Justin Verlander

Justin Verlander

How to get your child started in sports

This is a great article on how to get your child started in sports.

Remember that the main reason for starting children in sports is for the lifelong benefits from exercise.


Listen to your child for clues of burnout from sports!

The article is from In Motion: Active Living for All Ages.

You can read the article here.

Detroit Tigers Jose Iglesias Out With Stress Fractures — Why?  Dr. Bicos talks Stress Fractures…

Spring is in the air. The snow is melting, and as we wrap up the basketball March Madness, the only thing left is opening day of baseball – hot dogs, peanuts and popcorn, the crack of the bat. But the Tigers will be without Jose Iglesias for the ENTIRE 2014 season due to stress fractures in his legs! How can this be? What are stress fractures and are they that bad that he cannot play the entire season?

Let’s go back to March 31, 2013, almost one year ago, in the first half on an Elite Eight matchup between Louisville and Duke during the NCAA tournament in Indianapolis, IN. A player by the name of Kevin Ware attempted to block a 3 point shot, landed awkwardly, and broke his shin bone in half on prime time TV. Not only did he break his leg in half, but the bone came protruding out of his skin.

Massive traumatic sports injuries like that, after just landing from a jump, are almost always caused by a stress fracture or a stress reaction to the bone. It is as if the bone is “hanging on by a thread” and it just takes that one awkward maneuver for the whole thing to go.

This is why Jose Iglesias is benched for the entire season and basically has to do non-weightbearing conditioning (i.e. he can’t put weight on both his legs) for the next 3 – 6 months. Stress fractures are real, stress fractures are dangerous, and stress fractures can lead to devastating injuries, why not find out more and learn how to deal with your health.

How do stress fractures happen?

A stress fracture is the last part of a chain of injuries that can happen to a bone. Most of the time, we never reach a stress fracture because the body tells us that it is in pain, so we limit our activities. It is in situations where we do not listen to our body and ignore the pain, that the injury progress down the pathway that leads to a real fracture.

Our bones are alive, and even though they don’t look like they do much except support our body, they are constantly being replaced by new bone. When we are very young, that new bone growth adds to our height, but when we stop growing, our bones need to be maintained. There is a constant balance between the body removing old bone and replacing it with new bone. That is why we are better than machines – we can technically heal ourselves with new bone or skin, while machine parts can only wear out.

As we place stress on our body, you can think of it as wearing down some bone. That is actually healthy for our bodies, because we put down new bone in response to stress. Hence, we recommend an active lifestyle as one of the preventers of osteoporosis (or brittle bones). But…and this is important…you can do too much damage to the body so that the body can’t keep up with the amount that it has to repair. This is technically the beginning of the chain of events that lead to a stress fracture. The chain of events has many “checkpoints” that our body builds in. There is pain to let us know that we have done too much. There is swelling also to let us know that we have done too much. But if we disregard these clues, bad things can happen.

The chain of events is broken down to normal bone, painful bone, stress reaction, and stress fracture.

If you ever have a chance to look at an old foundation of a house, you see cracks. The cracks are usually small enough that the house does not collapse. The smaller cracks are the same as a stress reaction on a microscopic level. There are certain situations that the cracks develop into a size where part of the house actually collapses – this is a stress fracture.

A stress fracture of the shin bone.  (Red arrow points to stress fracture)

A stress fracture of the shin bone. (Red arrow points to stress fracture)

What is the treatment for a stress fracture?

REST!!! What a stress fracture or even the precursor to a stress fracture is telling us is that the balance between making new bone and taking new bone away is off. The easiest way to correct that balance is rest. Often times, this is the hardest thing for athletes to do, because they are either in season, training in the off-season, or competing in too many sports. I routinely hear the words, “I can’t take any time off because…”, and the excuses are many, ranging from “If I take time off I will lose my position”, “If I take time off I will be kicked off the team”, or “If I take time off I will fall behind the other kids”.

But my point of view is that if you do not take time off you can end up with a catastrophic injury like Kevin Ware, where you have your shin bone sticking out of your skin. These injuries are not made up, they are real.

Your sporting career is not a sprint, it is a marathon. And from that standpoint, you need to give your body adequate time to heal.

Even though Jose Iglesias has stress fractures in both legs, what is he doing? Resting!!

One can say that he has already made it in his profession and that as a high school kid there is even more to prove, but if the pain you have is not letting you reach your true potential, then you are not doing your self any favors.

Bottom line?

Seek out someone who understands athletes and what the pressures are that they face. This is typically a fellowship trained sports medicine physician, such as the ones found at Performance Orthopedics. From there, listen to what they say, because the only thing we want to see is for you to get back in the game, what ever your game may be.

Catch Dr. Bicos on BCTV!

Dr. Bicos does an interview with The Community House on his upcoming shoulder lecture in April.

You can catch the show this week:

Tuesday at 7:30pm
Wednesday at 8pm
Friday at 2pm

Comcast Customers:
In Bloomfield Hills and Bloomfield Township BCTV is on Channel 15. In Birmingham, Beverly Hills, Franklin and Bingham Farms BCTV is on Channel 18.

AT&T/U-verse Customers:
In Bloomfield Hills, Bloomfield Township, Birmingham, Beverly Hills, Franklin and Bingham Farms BCTV is on Channel 99.

WOW! Customers:
In Birmingham, Beverly Hills, Franklin and Bingham Farms BCTV is on Channel 18. BCTV is not available to Bloomfield Customers on WOW!

Dr Bicos talks about shoulder pain on Bloomfield Community TV!

Dr Bicos talks about his upcoming lecture at The Community House. His lecture is set for April. Please visit The Community House website to register for his talk!

Please see the BCTV video for his interview on this topic.