Why Repair Outperforms Replacement

Dr. Marc Pietropaoli, Author of Repair Not Replace is an orthopedic surgeon and founder of Victory In Motion, home of Knee Repair, NOT Knee Replacement®. A former fellow of Dr. James Andrews, he has spent more than 25 years advancing regenerative and non-operative orthopedic care. He was the first surgeon in the world to perform an FDA-indicated BEAR ACL repair outside of clinical trials. His mission is bold: make the world Knee Replacement Free by 2043.

TRANSCRIPT

You are listening to Boomers Today with your host. Samson. Well, welcome to Boomers Today. I’m your host, Frank Samson, and of course each week we’re bringing you very important and useful information and issues facing baby boomers, their parents and other loved ones.

And I just want to as I do on each one of our shows, is thanking all of you. I’m going to thank you because so many of you who listen to our show share our podcasts individual shows with family and friends. Many of you listen to the show on Apple Podcasts, Spotify, iHeartRadio, Audible, or you just asked Alexo Siri to take you to Boomers today. So thank you so much for doing that.

And you know, I know why you do you share these podcasts with friends and families, because we have fabulous guests who are very, very educational and not going to disappoint you. Today we have with us doctor Mark Petropoli, who’s we’re going to call him doctor P. That’s what he says. He everybody refers to him to guess easier to pronounce doctor P as author of Repair not Replace.

He’s an orthopedic surgeon, a founder of Victory and Motion, home of knee repair, not knee replacement. A former fellow of doctor James Andrews, he has spent more than twenty five years advancing regenerative and nonoperative orthopedic care, and he was the first surgeon in the world to perform an FDA indicated bear acl which we’ll learn more about that repair outside of clinical trials. His mission is bold make the world knee replacement free by twenty forty. So, doctor P Doctor Peter BALLEI, thank you so much for joining us on Boomers today.

Really appreciate it. Well, thank you so much for having me, Frank, I greatly appreciate being on Boomers today, and thank you to all your listeners out there as well. Yeah, and so I just got to tell everybody he just came right out of surgery and we’re interviewing them right out right out of surgery. So that’s that’s a first for me entering somebody right when they came out, and he said it it went extremely well.

So thank you for doing this. I really appreciate it. So, uh, doctor P. So tell me, you know you’ve kind of taken I think it appears to me a little bit different, you know, strategy, and so what what was the kind of the moment that you decided to challenge maybe traditional or the where you’re seeing a lot of people getting knee and hip and shoulder replacements.

I’ve got friends of mine who I called the bionic men because they’ve had so many replacements already. So, yes, why are you challenging that what seems to be a trend at least and replacement? Well, I think you know, you kind of said what started that? And kind of what started that was I knew I wanted to be a sports medicine doctor, and my uncle was a doctor, and I asked him, I said, I want to be a sports medicine doctor. He says, well, you have to be an orthpedic surgeon to be a sports medicine doctor. So I said, fine, I’ll be an orthpeedic surgeon.

So you have to go to medical school, obviously, and so in your third year of medical school you start going through the rotations and experiencing like internal medicine, pediatrics, cardiology, general surgery, et cetera. And at the end of my third year of medical school was my orthopedic rotation. So I was pretty excited to see if that’s really what I wanted to do. And I found out the night before I was going to be watching doctor Murray.

David Murray, who actually was one of the original inventors of knee replacement, perform a knee replacement. So I got there early the next day and they said, well, you know, you’re going to stand in the corner over here. You’re not going to scrub in, you know, and don’t touch anything, but it’s to have, you know, any questions, feel free to ask because there’s no such thing as a dumb question. That’s what they always say in med school.

So the patient got wheeled in and the nurses transferred the patient to the operating table in the anecziaus, put the patient to sleep, and doctor Murray came in with the chief resident who was in this last year of training, and they draped the patient and then he said knife and next thing I know, they’re making a huge incision. And next thing I know after that, they’re using power tools and saws and hammers and drills and it was like, you know, cartilage and bone flying all over the place, and it was very loud, and at first I was really excited because I love using power tools. My dad taught me how to do that he put himself through through college working construction, so he passed that on to me. So I was really excited.

I’m like, wow, I get to fix people with power tools. But when I all that huge incision and I saw the metal and the plastic, and I was like, this is who would have ever thought of this? I said, it’s kind of gross, and it’s actually kind of barbaric. So I remembered what they said. They said, you know, feel free to ask any questions.

So I raised my hand, and you know, the resident who told me raised my hand. He looked at me but didn’t say anything, and the nurses glared at me, and the chief resident glared at me, and the anecgalogist eyes open wide, and then complete silence. Nobody said a thing. I started to put my hand down, and doctor Murray actually saw me and he said, oh, Mark, you have a question.

I said, yes, doctor Murray, thank you so much for letting me watch this surgery. But my question is is there any way to cure artritis? Is there any way to repair a knee and not replace it and grow back new cardilage? And before doctor Murray could even get a word, and the chief resident pointed at me. He’s like, no, there’s no way to cure artritis. There’s no way to grow back new cartlage.

There’s no way to repair a knee and not replace it. So at that moment, you know, other than being extremely embarrassed, I realized, you know, there is such thing as a dumb question. And even though I was embarrassed, the light bulb went off in my head and I said, I’m going to prove that guy wrong someday. So that was, you know, like thirty five years ago, and it took me a while to kind of figure out how it’s going to prove this guy wrong.

But now you know, thirty five years later, I’ve written a book on repair not replaced, as you referenced, and it goes through a bunch of stories, my story, how I got there, what we do, and you know, it tells the whole story, which obviously we don’t have enough time here. But that was kind of a catalyst that really made me decide I wanted to prove that guy wrong and figure out better ways. So wow, that’s fantastic. So the.

As far as the car of the growing back cartilage, like you said, listen, I’m at the age at every ache and pain I have. My doctor says it’s arthritis. It’s arthritis. Okay, maybe it is.

You know, so how has cartilage grown back? I mean, or that’s the that’s not the way to do well. By the way, what you just said is so classic, so so classic that you’re you know, you’re just it’s kind of dismissed. You know, you have knee pain, you have shoulder pain, and your primary care doctor only has ten minutes to see you, and they don’t want to take care of that part. They’re worried about your blood pressure and your cholesterol and your diabetes, so they like, just blow it off.

Oh, it’s our thritus. You’re getting old and you have to kind of stuck it up. And we are conditioned that there’s you know, there’s there’s it’s just our critis or you’re getting old. You just have to suck it up, or you know, if you don’t get better, we’ll try a Cortizon shot and get you the heck out of here.

And we know cortizone damages joints. So that’s unfortunate, first of all, and that also leads to the problem of most people Number one, they don’t even really know what arthritis is. And number two, they don’t the doctors don’t spend enough time with them figuring out what the root causes. So it turns out that yes, arthritis is nothing more than the cartilage on the end of the bone wearing down.

We have carblage on the end of the bone. It looks kind of like the white on the end of a chicken bone if you’ve ever seen that. It’s kind of like the trend on attire when that wires down. That’s what arthritis is.

But the carblage on the end of the bone doesn’t have any nerve fibers in it. There’s no nerve fibers in it, so that doesn’t cause the pain. So what causes the pain, and a lot of doctors don’t know this, and many patients don’t know it, but the bone underneath the cartilage starts to break down faster than the body can heal itself, and we get these stress or microfractures, or people call them bone marrow a lesions. They mistakenly call them bone bruises or bone marrow edema swelling, but that doesn’t really describe what they really are.

The bone is trying to heal itself, and it can’t do it, and it’s getting softer, and if it gets softer, it can’t support the carblage over the top, and just like a pothole forms in the road, that carlage on the top breaks down and you get the arthritis. So the amazing thing is instead of trying to grow back new cartilage, which is still something that we’re not great at, but we can do in limited fashion. So we’re way better than we were. But really the bigger problem is the bone, and that there’s where the good news comes in.

We are actually able to repair the bone, get that the heel, make the pain go away. Yes, sometimes some cardage will grow back, but if we get rid of what’s causing the pain. I don’t care as much about what your X rays or your MRI show. I care more about how you feel and what we can get you to do.

And so if you want me to geek out just a little bit, here there was a study. I’m on the edge of my seat right now. So yeah, so there’s a sprench orspedic surgeon. I can’t take credit for this, doctor Hernigeu, Felipe Hernigeu.

This is like the late nineteen nineties or early two thousands. So people who say this is experimental or it’s new, it’s not new. It’s not experimental. There’s a lot of really good studies and this is one of them.

So he had one hundred and forty patients. He’s nor res pedic surgeon, and he said, I’m going to do a new replacement on one knee. And his feeling was that the stress are microfractures. If you could take good stem cells from an air of the body where they’re still good and concentrate them and put them into the area where the bone was sailing and get that bone to heal, that these people would do well.

And as we get older, we don’t have as many stem cells repair cells in our arms and our legs, and that’s why another reason why we break down. But we still have really good stem cells in our pelvis, which is that bone between our upper and our lower body. So we can easily take these stem cells, which I just did this in the operating room. We don’t always have to go to the operating room.

Most of the time I can do in the office. But this lady, we also had to take some bone graphs, so I wanted her completely asleep, so she wouldn’t feel any pain. But the point is we can take good cells. You have good stem cells in your pelvis even into your eighties, so we can take those.

They’re really easy to get, and we can inject them into the areas where the problem is and get it to heal. That was his theory. So he did a knee replacement on one knee and he did stem cells on the other knee. Because he had one hundred and forty patients and all of them were told they need new replacements on both sides, he says, I’m doing a new replacement on one side, I’m doing stem cells on the other side, and I’m going to file these patients for a minimum of ten years.

I don’t know how much you know about research, but usually they only file the patient for a year or two if they’re lucky. He filed these people for a minimum of ten years, and by the time the study was over, some people had been filed for fifteen or twenty years, so the average follow up was fifteen years. So at the end of the study, eighty two percent of those knees that just got the stem cell little poke holes as opposed to that huge incision in the saws and the drills and the metal in the plastic. Eighty two percent of those knees never needed a new replacement for ten, fifteen or twenty years.

Now, opposite the opposite need that got the replacement, fifteen percent of those one or two out of ten still needed another new replacement within ten or fifteen years because it wore out. And that’s called revision surgery. And that’s a lot riskier, doesn’t last as long as doesn’t work as well. So he proved, you know, years ago, that we can.

He has an amazing ability to heal itself. And if we can heal the underlying thing that’s causing the pain and the issue, the root cause, then we might be able to avoid replacements. Now, what I do not only includes that. There’s a lot of other things we include, and most of that’s in the book if people wanted to read it.

All these other things we do. But I mean, he really is the godfather of repairing knees and not replacing them, and I got to give him a lot of credit, doctor Felipe Herniegez. Right, So the proceed you’re making it probably sound a lot easier on your from your standpoint than it is but are you actually getting those stem cells ahead of time and getting him prepared, or you’re doing it all at the same time during that surgery, so all the same time. Yeah, And most of the time we do it right in the office.

So the area of the pelvis that’s right under the skin, right a book above your buttock area. It’s called the Postier Superior X spine. You don’t have to know the name, but it’s right under the skin. So in the office, we can have you lying on your front and we numb that area up and then we’re able to put a you know, a hollow metal it’s a little bit bigger than a needle, but it’s called the trocarnate canyon.

We can aspirate or take out the good bone marrow cells. So bone marrow has stem cells, it has other cells to help the stem cells. Stem cells are cells that can turn into carlage, tendon, bone, ligament, heart, lung, liver in the right circumstances. But they also most of the time what they do is they influence other cells and tell other cells how to repair themselves.

So they’re kind of like boss cells. So we can take those out, we can concentrate them and right in the same room, same setting, and then we can inject them into the area where we know the problem is based on We got X rays, MRI things like that, and so we know where we to inject them into and they basically start multiplying and growing and helping that area heal. And it can all be done in the same setting, walk in, walk out. Most people don’t need general anesthesia.

The lady that we were doing today, she had a cyst which was an area which was in the bone that was very very weak. So I had to take not only just the bone marrow, which is kind of like a thicker liquid. I had to take actually some bone and harvest some bone through little small pocals as well and then put that into the cyst. And so that was going to be a little bit more painful.

So we did do that in a surgery center under anesthesia, but most people local. I’ve had it done on myself for a torn tended in my elbow. It’s not just knees. It works for shoulders and hips and ankles.

It’s the same regenerative medicine principles of your body being able to heal yourself. Yeah, so I was about to ask you a question, and I’m going to change it around a little bit. I was about to ask you who’s the ideal candidate for repair versus replacement? But I’m going to switch it around. Who would you say is more of an ideal canon for replacement instead of the repair that you’re talking about.

Well, first of all, to answer your first question, because I get that question quite often, who, So that is a very common question, I would say anybody, and everybody is ideal for repair because our bodies. What I’m doing is I’m helping your body heal itself. I’m just getting to the root cause. And I’m maybe concentrating or taking sells from a good area and putting him in to a bad area and helping your body heal yourself.

So I had a patient tell me thank you so much for what you said. Well, you did it, you did the healing. I just helped you. And so even we get athletes, right, we get young people, you know, you have people in their teams, We have people in their nineties.

Now. The more common people who it gets done on though, are between probably fifty five and eighty five because the body has started to break down and needs more help. But we have plenty of athletes who might you know, partially tear or degenerate a tendant or tear their elbow. Tommy John Ligaman, you know, there’s all kinds, even the acly you were talking about.

These regenerative medicine principles and these repair versus replace or reconstruct principles apply to any age. Now, someone who needs a knee replacement, it’s usually when it’s not a microfracture anymore, because what happens is these soft spots in the bone where the bone is breaking down faster than the body can heal itself. If you look at it under a microscope, it looks like there’s little microscopic fractures there. You can’t see them on an X ray, but you can kind of see this on an MRI.

And so once it gets to the point where it’s a true fracture, like a true crack, we see like a black line, sometimes what I’m going to do isn’t going to help as well as much, and then I may have to tell them that they needn’t you know, I don’t think I can help them and they need a knee replacement. I think that’s maybe two to five percent of people maximum, So it’s rare, but there are people who are too far gone. Yes, and that crack is it Does that happen just because it over time or is that due to an injury. Well, the reason these these microfractures start in the first place is one, our bodies don’t have as good of an ability to heal ourselves as we get older.

But also as we get older, we gain a little weight. Right, so for every pound of weight we gain, that’s three or four pounds extra force going across our knee, for instance, or our hip or our ankle. We might lose the muscle mass. We don’t exercise as must much.

Our muscles are our main shock absorbers. So the less muscle you have, the less force the muscle can absorb, and so the more force goes across the joint, and that causes more issues with the joint. Also, we have less stem cells as we get older in our arms and our legs, so less repair cells. Also, you have females a little bit more than males, right, their bones get softer because of hormone problems.

But even males, if their testosterone goes down, then their bone density is probably going to go down. Some people, as we get older, sometimes we don’t eat as well as we used to, or we’re on the run, or we’re busy, and so you eat an inflammatory diet as opposed to an anti inflammatory diet. And we know that systemic meaning you if your whole body’s inflamed and you have increased mechanical stress, you’re four times more likely to go on to develop arthritis. So all these factors leading lead into a mechanical problem with your knee, and your knee starts to break down faster than it can heal itself.

Or your hip or your ankle, or even your shoulder, your upper body not as much as your lower body, but it happens in the upper body too, So all those things come into play. And then if you let it go too long, a lot of people they wait and they wait and they wait and they wait, and it’s like a paper clip. It’s getting weaker and weaker and weaker. Eventually it’s going to crack and break.

So if you’ve been a paper clip a few times and you look at that metal, it’s if you look at it from a distance, you can’t tell it’s weak. But if you look close, like an MRI looks closer at the bone. You can see it’s weak. We’ll go ahead and fix it.

You know, don’t keep bending it, don’t keep aggravating it. Same thing. If we catch it early enough, we can usually reverse it or get it to heal. But if you keep going or you wait too long, yes, it can crack and cause a complete break.

So in my mind, it’s more waiting too long that causes that, as opposed to any other things. Yeah. Great, right, So we’re going to take a quick break. I promise just to recognize our sponsor, and we come back, give you the opportunity to share with everybody how they could learn more about all the wonderful things you’re doing.

Of course your book as well. And we want to address also your bold statement on making the world knee replacement free by twenty forty three. So well we’ll talk about that when we come back. Okay, great, all right.

So I just I guess I just want to ask all of all of you, do you know anyone who may be concerned about an older driver well Senior care Authorities Beyond Driving with Dignity Program is a facilitated self assessment program for older drivers. This program has been designed to serve as a vital tool to facilitate older drivers and their families as they make the appropriate decisions regarding the future of one safe driving career. If the individual is a safe driver, an advisor will provide him or her with strategies and how to remain a safe driver as they progress through the aging process. If driving retirement is the appropriate decision, then the individual and their family are offered possible alternatives, resources and a specific plan to ensure a smooth and successful transition from the driver’s seat to the passenger seat.

So to learn more, you can go to www. Dot Beyond Driving with Dignity dot com. That’s Beyond Driving with Dignity dot Com to connect with a senior care authority advisor in your area. We’re back with doctor Mark Petropoli, Doctor P who’s giving us a great education on repair versus replace.

So Doctor P share with our listeners anything you’d like to website, talk about your book a little bit, how they could get it, and we’ll continue our discussion. Then after that, sure. My website is www. Victory InMotion dot com.

Victoryinmotion dot com. I’m on, you know, doctor Mark Petropoli or Victory in Motion we have you know We’re on Instagram, Facebook, YouTube, TikTok, all those things, so you can find us on social media. Also, you mentioned my book. If you just go to Amazon and you type in repair not replace, so Amazon repair not Replace, the book will come up, and one dollar from every book that you buy goes towards the Arthritis Foundation, with our goal of raising a million dollars to at least start the process of ending the need for nee replacements by the year twenty forty three, which I know you just alluded.

To, right right, right, So let’s let’s talk about that. That is kind of a bold statement. And so you really think you could eliminate it or just reduce it. What do you think.

Absolutely can eliminate it? And if we can put you know, a man on the moon back in nineteen sixty nine, with sixties and fifties technology, there’s no reason we can’t end the need for nee replacements. But it will take a lot of work and it’s not going to be I mean, first of all, there has to be some awareness that there are ways to fix people’s needs without having to do metal, plastic and cement. So most people their doctor tells them, you know, well, you know you need any replacement, and then you say, well, I don’t want an ey replacement, and they say, well, then you have to suck it up in pain until you’re paying gets bad enough, and then come see me and we’ll do an I replacement. But you know what, if there was a third option, which is the option we’re talking about repairing the knee.

So that’s one thing, but in my mind, we’re getting better at that. The regenerative medicine techniques and all these things are just so much better in the next five to ten years. That is going to help us avoid knee replacements. But what I would really like to see is us prevent the arthritis in the first place.

Because just like heart disease, diabetes, many forms of cancer are preventable and everybody knows it. It’s getting it done, is the other thing. And so arthritis, for the most part, not all of it, but much and most arthritis is actually preventable. And that does come down to your diet and your exercise and your activity levels and all those things.

And I’ll give you another example. So the ACL is the main stabilizing ligament deep inside the knee, and anybody who watches any sports knows that a lot of athletes, whether they play basket ball or soccer or football or whatever, pair their ACL, and most of the time it’s not from a contact injury. They’re not getting hit. It’s they’re cutting or pivoting or turning or landing from a jump the wrong way in their ACL tears.

And there are programs. Doctor Noyes developed this in Cincinnati, but there’s many other programs, And there are programs that with a six week program you can lessen the risk of somebody tearing their ACL by fifty to seventy five percent. So there are lots of preventive programs that can be that can prevent people from getting injuries. And when you get an injury and you tear your ACL, you’re almost guaranteed you’re going to get arthritis eventually.

And some people fifty percent of people start to get our thritus even within four or five years, and they say, well, I’ll just have my you know, my ligament reconstructed up. I know that, you know that’s the surgery you make a new ligament ACL reconstruction. Yes, I’ve done thousands of those, but that doesn’t prevent the arthritis from happening. That only stabilizes the knee.

It pushes the arthritis out maybe ten or twelve years. And you know, if you’re fourteen years old and you’re a young girl and you tear your ACL fourteen years you’re twenty eight, you got arthritis. That’s not a good thing. So there is a newer surgery, which you alluded to, the BEAR surgery Bridge Enhanced ACL restoration, and doctor Martha Murray developed that in Boston, and I tried to get myself into the research studies to do the surgeries in the research studies, but they were already filled up.

So she said, as soon as it gets out to the general public, I’m going to call you, which she did, and I thank her for that, and so yes, we were I was the first one to do an FDA approved outside the research studies BEAR procedure. And what we do is we sew a collagen implant. Collagen is like the building blocks of our muscles. Our tendons are soft tissues, and actually this collagen is purified.

It comes from cows actually believe it or not, as bovine collagen, and we sew it in between the two torn ends of the ACL. We soak that in the patients fill and blood and that forms almost like a super scab that your body slowly dissolves over eight weeks. But over that eight weeks, the new ligament cells and blood, vessels and nerves grow across that bridge. That’s why it’s called bridge enhanced ACL restoration, and you grow back your ACL.

And the biggest thing is in the animal studies, but now even in the human studies. The FDA just came out with if you do the bear surgery, the restoration, the repair as opposed to the traditional reconstruction, making a new ligament from another tendon in your own body or a donated tendon, you have a significantly less risk of getting arthritis. So the point is, the way we prevent the need for new replacements is prevent the reason the replacements are done, and that’s arthritis. And there’s a ton of ways we can do that.

So treating the arthritis once it occurs, that’s great, and we are doing that now, but I’d love to get it slip the switch where we prevent the arthritis more so. It’s a long process. I detail a lot of it in the book, and I know AI and I know technology is going to change over the next several years. So by twenty forty three, what we know now is going to be completely different and even better.

So I see no reason why we can’t do it. So you had mentioned earlier that someone who maybe would need let’s use knee as an example, knee repair, but they wait too long, even though the percentage is very small, but it might get to the point where maybe they do need replacement because they waited too long. So when is the right time if somebody is just you know, it’s having pain, they’re dealing with it, it’s getting worse. I mean, is that when they should go in or how do.

They know if you’re having pain? Yeah, great question, And that’s a super question because if you’re having pain and you did some you know this time of year at springtime, maybe you’re gardening, your knees get a little sore. But you know, after a couple of days, the soreness goes away just because you’ve been more active, or you get out and you golf and you’re walking the course and you’re a little sore. You know, pain that goes away after two or three days completely normal. That’s more like you know, quote unquote soreness.

If that pain sticks around for a couple of weeks and it’s not getting better or getting worse, then it’s not normal and that you should get checked out. So I wouldn’t give it more than a couple of weeks if it’s not getting better or it’s getting worse, especially and you know, maybe it is something quote simple but great. If it’s something simple, we can help you with that and help you avoid something more complicated. So getting into a North Pedic surgeon, getting into your primary care doctor.

I love them, and I have one and my brother’s one, but they don’t have the time or the expertise to really figure out what’s wrong, nor do they usually want to because they’re busy with other things. So getting into a North Pedic surgeon, even a really good physical therapist, you can get a lot of states who can get in there before. Sometimes you can even get into see a North Pedic surgeon, and they’re trained on evaluating people you know who may have for a couple of weeks but maybe they’re not ready to go see a doctor you know. And actually physical therapists are doctors, they’re doctors of physical therapy.

So getting in to see someone who’s an expert with musculo skeletal you know bones, tendons, muscles, ligaments, like an orthopedic surgeon or a nonoperative orthopedic doctor or a physical therapist. I think is probably the best first step. So let’s say we don’t have much time here, but let’s say they go in all right, and that orthopedic surgeon recommends knee replacement. Now what, well, you can always well, first of all, you can always get other opinions, and not to plug my book.

But I guess I will plug my book. If people read the book, they’ll understand there are other options out there. So educate yourself first of all. Don’t always go blindly and get two or three opinions.

There’s nothing wrong with that. And there are not nearly as many doctors like myself. But there are other orthpedic surgions just like me. There’s other non orth pedic sursions just like me.

Those numbers are growing, Our numbers are growing. I go speak at conferences all over I was just in La, I was in Dubai before all the shooting and everything was going on. And go I travel around the country educating other doctors and patients as well. And we get patients from all over the country, all over the world.

Canada. We had somebody just call from Paris. So if you’re even if you’re don’t say, oh I’m not local. We still deal with a lot of patients from all over the place.

If you need a procedure, yes you need to come see me. But even just to get educated, we have lots of people contact us all the time and ask questions. And many people do come from all around all over the US, all over New York State, Canada, Vancouver, and like I said, we just had someone called yesterday from Paris. So we get people from Europe all over the place calling us.

So do your research. There’s a lot of you know, there’s not a ton of doctors like myself, but enough and find one and get in and get another opinion. Just because you go see a doctor doesn’t mean you have to do anything. You don’t have to do anything, I say either, but at least you can get as much education and opinions as you can.

And there’s no law against getting you know, two or three opinions. I say, go for it and get as many opinions as you want. Doctor Pete, thank you so much for joining us. I’m going to say I really appreciate it.

And well, thank you Frank, and thanks to all your listeners. Yeah check it out, repair not replace, get that book now, So thank you all. Please please be saved and. We’ll talk to everybody next week.

You’ve been listening to Boomers Today with Frank Sampson. To learn more about today’s show, visit Boomerstoday radio dot com and join us next time for another edition of Boomers Today.

Find Comfort and Care for Your Loved One

Meet with a Certified Senior Advisor in your area. Let us create a personalized senior care plan for you.

Home » Why Repair Outperforms Replacement