Heather Ly (Host): Hi there, everyone. Thanks so much for joining us for this latest episode of Medically Speaking. My guest today is Dr. Matthew Binkley, orthopedic surgeon at Millard Fillmore Suburban Hospital, one of our Kaleida Health facilities. Thanks so much for being here with us today.

Dr. Matthew Binkley: A pleasure to be here.

Host: Yeah, lots to talk about today. I guess, first things first, let's get started with how did you get into the field of orthopedics to begin with?

Dr. Matthew Binkley: Well, growing up, I actually wanted to be a soldier. My dad was in the Vietnam War. And my early life, I always wanted to be a soldier. Unfortunately, I sustained a couple injuries like a lot of my patients end up doing.

I had a couple shoulder dislocations, and so by the time it came to join the military, actually, I was disqualified for medical reasons. So at that point, I had to kind of scramble and see what kind of job would be appealing to me, both from a physical standpoint, but also intellectually. I had a lot of experience being around an orthopedic surgeon, unfortunately, at that time of my life. And I thought, "That's a guy who seems to be having a lot of fun at work." He clearly was making people better, and, you know, I was able to return to sports after my surgeries. And again, being exposed to that type of field, I felt like that was something that I wanted to pursue or look into further. He was nice enough to let me job shadow him. And so, I thought after being around him, seeing the athletes he was taking care of, the regular people that he was getting back to living a very productive, you know, regular lifestyle, that that's something I wanted to be involved with, and kind of got exposed and kind of went from there.

Host: Having had your own personal experience, you know, with your injuries, is that something that you sort of draw upon when you care for patients today? I know that sort of led you to this career, but do you often think back to what you maybe were experiencing and sort of use that with your treatment today?

Dr. Matthew Binkley: Yeah. I think for myself as a shoulder specialist, having had multiple shoulder surgeries myself, it's very easy to relate to having to be in a sling for a certain period of time, having to work with physical therapy, the difficulty early on from even showering in the early postoperative time period, pain medication after surgery, and just kind of the long process as far as healing and getting back to doing the things that you want to do.

I think about those days often. I'm reminded of the good and the bad that surgery brings to the table, and I try to be pretty honest with people about what their expectations could be following the procedure and where they can end up long-term.

Host: And I know that you specialize when it comes to shoulder procedures. But when we hear orthopedics as a whole, what exactly does that mean? What are we talking about?

Dr. Matthew Binkley: Yeah. So, orthopedics is medicine that centers on muscles, tendons, ligaments, and bones. That's a pretty broad spectrum of treatment, and so that can kind of go basically from your neck all the way to your toes. So, we do have a large variety of issues that we treat very regularly, but musculoskeletal problems.

Host: What are some of the things that folks can do, I guess, first of all, to avoid coming to see you and needing a procedure? We're not trying to run you out of business over here, but what are the things that we can do for our bone health, joint health, whether that's knees or hips or shoulders?

Dr. Matthew Binkley: Yeah, I think that's a good question and a good comment, because no one's ever thrilled to have to see a specialist, especially when the option of surgery's on the table. But I think as far as things go from a musculoskeletal standpoint, remaining healthy, so keeping a healthy weight, eating well. I always tell people sleeping well is very, very important. So, recovery for your muscles, tendons, bones. It's very important that you get a good night's sleep and that you're eating well to fuel that body. I think staying active, especially as you get older, it's very, very important for your bone health that you're pursuing some form of activity to keep your bone density as high as it can be.

Unfortunately, as we all age, our bone density does tend to plateau and then decrease. And so, remaining active so that bone density does not decrease at a very rapid decline, but more so a little more gradual will also be to your benefit.

Host: So, it's inevitable, the bone density. And I feel like that's something that I hear about and I probably worry about more than I ever have before as I get older. Is there anything that we can do, in addition to good physical health, vitamins, supplements, food, things that help to slow that progression of loss?

Dr. Matthew Binkley: Yeah. Being active is one of the most important parts, but also calcium, vitamin D supplementation. Unfortunately, in Buffalo, we're not getting a lot of natural vitamin D for at least, I would say, six months generously. So, it's important that we check our calcium and vitamin D levels and make sure that you're getting the adequate nutrition and vitamin supplementation you need.

Host: Is that something that you can request in your blood work? Is that something that you check for? Like, I guess, how do you know whether or not you're at a good level?

Dr. Matthew Binkley: Yeah. So, that's a regular portion of most people's routine blood work, so that's where it's important that you, you know, especially men, go and get your blood work at least regularly so that's monitored.

Host: Yeah. You mentioned sunlight or sometimes the lack of sunlight here in Western New York. One of the things that's important to you, you said in your operating rooms, is there's windows. And there are windows, and you get some of that natural light. How does that help you as you're performing your procedures?

Dr. Matthew Binkley: Well, I think it keeps me having a grip on reality. And so, knowing what the weather is doing outside, and it's pretty easy when you have a long day, 8 to 12 hours, especially in the winter when you get in, it's dark, and you leave and it's still dark.

Host: Yeah.

Dr. Matthew Binkley: For me personally, I like to see the sunlight. I like to see what the weather's like, and I like to know what's going on outside. So for me, it makes me feel like I'm doing part of my work outside. And for me personally, I really enjoy that.

Host: Yeah. While we are on the topic of being in the OR, any sort of playlist, anything that you prepare for before you head into a procedure?

Dr. Matthew Binkley: Yeah. I think, as far as operating rooms and people that worked in it, the playlist is kind of the holy grail of what's going on there. So, generally, I like to put on music that is going to keep everyone else happy and calm. So, I'll generally let other people in the room choose the music. If it's up to me, it would be classic rock, '90s alternative. I also love the Grateful Dead. But with that said, I try to mix it up so where everyone's getting a little dose of what they like to listen to.

Host: Yeah. How does somebody know when it is time for surgery? Because like you said, nobody's really excited to get any sort of orthopedic, you know, surgery procedure, again, no matter it's hip, knee, shoulder. At what point do you recommend like, "Okay, we've done enough physical therapy or things outside of, now it's time for corrective surgery"?

Dr. Matthew Binkley: Yeah. And I agree with that comment. No one's extremely eager to go under the knife, and I think that's how you should look at it. When you're ready, that's a personal question. But when it comes down to it, it's when you're unable to do the activities that you enjoy, or at least they're modified to an extent they're no longer enjoyable to you, when you're taking medication to help control the pain or make your daily life able to be tolerated. And then, a big one for me is sleep. If you're not able to sleep because of pain, generally, that's when I tell people that it's kind of enough is enough and time to move forward with surgery.

Host: So, age doesn't really have a whole lot to do with it? Because I've heard people say like, "Oh, I'm too young for..." you know, insert type of surgery. "I'm too young for a knee replacement, too young for a hip replacement." Would you advise people don't worry so much about the age and go by how you're feeling?

Dr. Matthew Binkley: Within reason. So, I think it depends on the procedure that's being performed. So, joint replacement in general, we don't like to do in a younger cohort, and that's because we worry about what's your next 20, 30, 40 years look like.

Host: Okay.

Dr. Matthew Binkley: And so, I think that there's probably a age cutoff, but there's also the reality of the situation, which we're treating the patient. And if your condition's bad enough and you've trialed and exhausted the other non-operative treatment, then we certainly don't expect you to suffer for 20 to 25 years just to get old enough.

Host: Yeah. So, you perform some of your procedures at Millard Fillmore Suburban Hospital, obviously a Kaleida Health hospital. What do hospitals offer for patients that are getting, you know, an orthopedic procedure that maybe an outpatient clinic doesn't offer?

Dr. Matthew Binkley: Yeah, I think for some people it's peace of mind. It can be as simple as that. You know, I've had many, many patients through the years, they grew up, you know, being close to Suburban, going to Suburban for their care. And from a comfort level, they feel extremely happy having their procedure done at Suburban, secondary to that, which makes sense. But also, there's the patients that you're on the fence of whether they're able to go home or not go home, that at the hospital we have the choice of either.

The other thing that's always good about having your procedure done at a Suburban or a hospital is the fact that physical therapy gets to work with you at that point, occupational therapy. So, we're not just sending you, having the procedure done, sending you out. We're able to make sure that you're safely understanding and able to do the things that you need to do once you get home, so you're set up for success and you're not going to fail.

Host: It's sort of that one-stop shopping, again, all in one place after the procedure. I there a population that you recommend come to Suburban for their procedure?

Dr. Matthew Binkley: I think Suburban would do a good job for any population. But what I would additionally say is anyone that I'm not certain whether that the patient health-wise or otherwise is going to definitely be able to go home. Anyone I have any concerns with whatsoever is a population I always want to have done at the hospital. And anyone who's just concerned in general, is like, "Hey, I don't know if I have the support I need," "Hey, I don't know if I have a quite a thorough understanding of what's going to happen."

I will say additionally at the hospital they have a pre-class. So if you're having your shoulder replacement or hip or knee for that matter, there's a class you can go to kind of give you the tools or at least the mindset that you're going to need when it comes time to have the procedure done.

Host: What do people learn in that class? What are you trying to inform them about before the procedure?

Dr. Matthew Binkley: So, I think they do a really good job at telling you what your day structurally is going to look like, for one, which is always one less thing for a patient to worry about. But also, they're really good at telling you like from a sling standpoint with a shoulder replacement or a shoulder procedure for a hip standpoint, like the postoperative or precautions that you'll have.

And for a knee replacement, what's going to be happening day one, day two, day three. And then, again, postoperatively, they're going to talk about the anesthesia standpoint. They'll talk about the medications which will be given and what you can, you know, expect from a side effect profile.

So, I think patients go into their surgery day a lot more confident, a lot more ready to tackle the procedure, and then hopefully go home, you know, comfortably and safe.

Host: And it's a lot to absorb all in one day. So, it's nice, I think, to get that information ahead of time so you're not like bombarded with so much on the day of the procedure.

Dr. Matthew Binkley: And I think that's completely fair. And so, a lot of times when I'm telling somebody, "Hey, you may benefit from a surgery. Now, I'm going through the surgery," a lot of times patients kind of get focused in on just the surgery itself, and I'm telling them other things that they may or may not be grasping.

So, It's important that before the surgery even ever occurs, they're having further considerations, they're going through it mentally, they're learning the little things that maybe I said or did not make clear enough for them, so they're going in very, very comfortable for surgery.

Host: Yeah. It makes it all easier to digest. What can a patient expect after surgery when it comes to, you know, length of recovery, pain management, that sort of thing?

Dr. Matthew Binkley: Yeah. So, it depends on the type of surgery, so I would start with that. As far as recovery, I always tell patients whether it's a shoulder surgery, a hip, a knee, a fracture that gets treated, any major injury will take you one year before you are 100% recovered or at your ending spot from that surgery. So, I say that right off the bat, so I want that imprinted in their brain.

With that said, it depends on the type of surgery. So for a shoulder-related procedure, it's very traditional that you're in a sling for between four and six weeks. You start therapy at some point around that time period. And then, you slowly progress from that time period forward.

With that said, you know, again, any major surgery can carry with it a lengthy recovery period. I would speak to hips and knees, although I am a shoulder specialist. Hips in particular can be a lot quicker than that. So, we get patients walking right off the bat. For a knee replacement, very similar. We get you walking, we get you moving right off the bat.

Host: I have friends, you know, whose parents have had knees and hips replaced, and I was really impressed with how quickly—shocked a little bit I guess—with how quickly they were up and moving. What is the thought process behind that? Because in my mind, I'm thinking, "Oh, you should nurture it and be careful," but you get everything moving quickly.

Dr. Matthew Binkley: Yeah. And so for a knee replacement in particular, they tend to get very stiff very quickly. And so, the quicker you get these patients moving, the less stiffness they'll have. And also from an ambulatory standpoint, it's very important that we get you up walking and ambulating as soon as possible, whether that be a hip or a knee.

Host: When it comes to recovery time, do you get people that are maybe a little impatient and overextend themselves or don't follow the rules, maybe they're not moving as much as they should or moving too much? How do you give them those guidelines to make sure that they follow the rules so that they don't maybe end up back in your office? Or is there a possibility that you would need a follow-up procedure if you don't do things the correct way? Not you, the patient.

Dr. Matthew Binkley: Definitely true. That's where personality management comes into play. And so, there are some people that I'll word things a certain way because I know there are those eager people that are just going to push the pedal to the metal and really go as far as they can. And there's other people that need a little bit of a nudge to, you know, incorporate and start moving forward with things. So, that's where meeting a lot of people, doing a lot of surgeries, seeing how people recover and react to certain situations is really important.

And so, you're right, there's the people that aren't going to listen to anything, and they're going to kind of go at their own pace, and people that need a little bit of a push, and that's where it's important that we talk to the patients and kind of have an understanding of how they're going to react.

Host: Again, anything else that they should be doing to prepare for their procedure? You know, aside from the classes, what can somebody do to make sure that once they're on the operating table, the outcome is as good as it possibly can be?

Dr. Matthew Binkley: Yeah. I think preoperative nutrition is very important. So, for some of our treatments and surgeries, we will actually have a dietician-type treatment where we're making sure that you're getting the nutrients and the calories you need to successfully undergo the procedure and then recover. So, I think that's important. And again, I really harp on the fact that sleep's important, so I want patients sleeping as well as they can so their body's really able to move forward with the next step in treatment. So, I think those are very important. And the third thing is movement.

So even if you're not able to, you know, exercise your shoulder, for example, it's important that you're exercising your lower extremities. Because when you're exercising other muscle parts, by proxy, your other muscles secondary to hormones and other things will start actually to get more strong and build up as well. So, it's important that we remain active as well.

Host: When it comes to the procedures itself, let's talk shoulders. Is it, you know, restoring mobility? Is it getting rid of pain? Are there some folks that you might never know that they had a shoulder injury to begin with? I would imagine it kind of runs the gamut depending on who you're working with.

Dr. Matthew Binkley: Yeah, it depends on the surgery, of course. But I think it's extremely rewarding when, let's say, six months or a year after a shoulder replacement or a rotator cuff repair, whatnot, when I'm, you know, evaluating the patient, I'm doing the range of motion, I'm doing their strength, and I'll sit there and say, "I'm not even sure which shoulder we operated on," because they'll test the exact same and they both test excellent.

And so to me, that's extremely rewarding. And, you know, that is the goal for every surgery, that we have that moment. We're like, "I don't even know which shoulder was operated on."

Host: Yeah. "I did such a good job, I have no clue." Are there any patient stories, without giving away too much about that particular person, that they came back to you and they were able to golf again or do something where you really helped to restore that function and really helped them get back to living their life because of the surgery you performed?

Dr. Matthew Binkley: Yeah, I had a patient last week who had a horrible fracture of his shoulder, which we fixed. And unfortunately, he was unable to heal the first time. It was complicated by infection, et cetera. He had to have a second procedure, which is a very, very complicated surgery. He showed up for a year following the second procedure, and he showed up and I had that exact experience, where after two surgeries where, frankly, at this point, he should have deficits, he should have issues, he tested the exact same.

And he was so thankful, and he said, "You know, I'm doing everything I was doing before, and I never thought this would be possible." So, I think every day there's a patient that reminds you why you're doing it and, you know, really makes you feel good about the effort you're putting forward.

Host: Yeah, you're making a huge difference. For the shoulder procedures that you perform, and you said you do some elbows as well, are robotics involved, or is it sort of, I guess, what I would refer to as old-school surgery? How much does technology and innovation play a part in what you do?

Dr. Matthew Binkley: I would say both. And so, robotics are used in the knee and they're used in the hip pretty— I would say most of the time—so, very commonly. For the shoulder, that's just now getting implemented. So from a technology standpoint, what we are able to do now that we were not able to even, you know, 10 years prior, is planning most of these surgeries on the computer.

And so, I always tell people that I want them to get a CT or whatnot so I can plan your surgery and do your surgery on the computer before I ever do your shoulder replacement. And so, I think that's been something that's new and very, very cool as a surgeon to get to kind of, you know, play a video game and then actually do it in real life. So, I think that's something that's been interesting from a technology standpoint. As far as robotics and shoulder surgery, that's coming. And soon that will be like hips and knees where that's going to be how surgery is performed.

Host: How is that plan of attack make your job easier, the outcome for the patient better, as opposed to—how long have you been doing this for?

Dr. Matthew Binkley: This is my 10th year.

Host: Tenth year. So even 10 years ago, I would imagine things were, you know, even different than they are today. But having that plan in front of you and sort of knowing exactly, you know, what is ahead, how does that make it better and easier?

Dr. Matthew Binkley: Well, I think the big thing is from a shoulder replacement standpoint, implant or putting the implants exactly where you want them to be. And so, what that means for a patient standpoint is that there's less potential for the hardware to fail, there's less chance of impingement, so loss of motion, which should lead to a better outcome. And so, I think it's important as the surgeon to go through those mental reps, whether you use a planning software or not, because I've thought about you as a patient, I've thought about you as the surgery. And then, we're kind of taking that next step to actually just do the surgery. So, I think from a patient standpoint, that should lead to better outcomes and less risk of having to do it again.

Host: What are the typical, you called it shoulder pathology, I guess, the injuries that you might see and the things that you might help repair?

Dr. Matthew Binkley: Shoulders are cool because I get to do it all. And so, that's why I was drawn to it, and that's why I still love it. And so, I might see somebody who broke their shoulder. I might see a teenager who has a unstable shoulder, dislocated their shoulder with labral pathology. I might see somebody who has a rotator cuff tear. I might see somebody who has a SLAP tear that's an athlete. I might see someone who has arthritis of their shoulder. I might see just someone who has a big effusion of their shoulder or an infection of the shoulder. So, I kind of get to do it all, which I don't think there's many jobs where basically anything that comes in from a shoulder standpoint, I get to treat, and I get to kind of think about things in a different way, and I really find that very rewarding.

Host: We talked about things to prevent injury, but are there things that we are doing that we should not be doing that is making our shoulders worse, the way we're lifting, the way we're, you know, just everyday life? Are we carrying things that are too heavy? Are there motions that we shouldn't be doing?

Dr. Matthew Binkley: Well, I'd like to say pickleball.

Host: Come on, really?

Dr. Matthew Binkley: Pickleball is great. I'm glad people are very active. But as far as shoulder issues, I see somebody with a pickleball injury probably once a week.

Host: Pickleball? What are we doing here? Dislocating rotator cuff?

Dr. Matthew Binkley: Rotator cuff stuff.

Host: Okay.

Dr. Matthew Binkley: And so, you're taking a population of people that probably weren't playing paddle sports until a little bit older in age for a lot of them. And yeah, a lot of pickleball injuries. As far as lifting goes, lifting over your head, lifting far from your body is always really, really hard on your shoulder. So, I have weightlifters that I see every week, and I'm telling them, "You kind of need to modify how you're lifting." So, I think those are things that I commonly see as far as injuries. But then, accidents also just happen. So if you trip down the stairs or slip on ice, which in Buffalo happens all the time, anything can happen.

Host: Now, just to be clear, we're not, you know, telling people to avoid pickleball completely. We don't want big pickleball to come after us. But I guess, what can people do? Can they do warmups or stretches or just maybe take it a little bit easier so they can still be active, have fun, but not get injured?

Dr. Matthew Binkley: Yeah. And I think as far as things go, keeping the paddle as close to your body as possible. And I think where people get themselves in trouble is where their arm's all the way extended, which in a sport, obviously things like that are going to occur, but close to your body is probably better.

Host: All right. Speaking of extracurricular sports, hobbies, what do you do in your off time? Because obviously, you're very busy at the hospital, in the office, and in the OR. But in your free time, what do we find you doing?

Dr. Matthew Binkley: In my free time—

Host: Not pickleball.

Dr. Matthew Binkley: Not pickleball. Although I would like to, actually. But weightlifting. I've weightlifted since I was 14. I still enjoy it.

Host: Nice. Competitively or just for fun?

Dr. Matthew Binkley: No. My shoulders would never tolerate that personally at this point. But I work out, you know, six days a week, not always weightlifting. I like to run. Me and my wife are running a marathon in a week, actually, believe it or not.

Host: Wait. Running a marathon per week?

Dr. Matthew Binkley: In a week.

Host: In a week.

Dr. Matthew Binkley: Yep.

Host: Wow.

Dr. Matthew Binkley: In Portugal.

Host: Amazing.

Dr. Matthew Binkley: Yep. Okay. We were going for our 10th anniversary, and they happen to have a marathon that day that we're getting in, so we're doing it.

Host: The day you're flying in?

Dr. Matthew Binkley: The next day, yeah.

Host: The next day, okay.

Dr. Matthew Binkley: So , I might be seeing an orthopedist there. I don't know.

Host: Let's hope not, yeah. You mentioned sleep is important. Try to sleep a little bit on the plane. What other hobbies do you have?

Dr. Matthew Binkley: Som we like to hike. So, the Adirondacks we've been hiking, so we've done half of the 46 peaks. We're at 23.

Host: Nice.

Dr. Matthew Binkley: So, we like to do that.

Host: Have you done Marcy yet?

Dr. Matthew Binkley: I have.

Host: Nice. That's the tallest one, right? Checking a box.

Dr. Matthew Binkley: It is. It's not the hardest, but it—

Host: Not the hardest?

Dr. Matthew Binkley: It is super cool though, so we like to do that. I have three little kids that, you know, I'm doing the soccer games, I'm doing the swimming, I'm doing you name it.

Host: Do the kids hike as well, or are you carrying them in the backpack?

Dr. Matthew Binkley: I've done the carrying.

Host: Talk about a workout.

Dr. Matthew Binkley: We're past that stage, thankfully. But no, they're not at that hiking stage quite yet, but they're getting there.

Host: Nice. What's next on your list in terms of crossing off the peaks? Because you have to do some of them in the winter too, right?

Dr. Matthew Binkley: You can do the winter peaks. Unfortunately I've done all the easy ones. All the hard ones are—

Host: I've only done one. So, 45 more to go.

Dr. Matthew Binkley: Hey, you got to start with one. Yeah. It starts with one.

Host: Got to start somewhere.

Dr. Matthew Binkley: I don't know which one we're doing next, but it's not going to be fun. Whatever it is.

Host: Your wife, you mentioned she's also in medicine, correct?

Dr. Matthew Binkley: She is.

Host: What does she do?

Dr. Matthew Binkley: She's a pediatric orthopedist.

Host: So, I see a common denominator there.

Dr. Matthew Binkley: Yep.

Host: Do you guys share stories, compare notes?

Dr. Matthew Binkley: We do. And so, sometimes I've even gone to Children's and operated with her because of an adult pregnant patient or outlier situations. But yeah, we talk about work to some extent. We try to keep it minimal obviously, and focus more on the children and other things. But it's always good to have somebody that understands where you're coming from, understands, you know, kind of the pressures you're under, and then does a job that's similar to you. So, I'm like, "Hey, something doesn't feel right or doesn't seem right. Can I just run this by you?" And she does that with me too, and it's good to have somebody you trust who's going to give you honest feedback.

Host: Having two parents—you know, three children, both parents are orthopedists, does, does that change anything with what the kids are able to do? Are you like a little extra leery when they're on their bike or, you know, skateboarding or doing things like that? I feel like I would be a little extra nervous having seen what you've seen at the hospital.

Dr. Matthew Binkley: Luckily, my kids are fairly cautious, which is odd from two parents like they have. But my nieces, for example, have all broken things, which is nice, because my wife has been able to fix them. My daughter did break her wrist from the monkey bars.

Host: Yep. The monkey bars will get you.

Dr. Matthew Binkley: Yeah, we got to do a nice co-parenting reduction of her wrist. So, luckily, my kids aren't too crazy, but that is always a concern.

Host: Ten years that you've been doing this, I would imagine every day it can be a little bit different. But I guess if you have a typical day when you're in the OR, what does that look like? How long are your days? What are you doing to prep?

Dr. Matthew Binkley: It depends on the time of the year. And so, certain times of the year, specifically in the summer, is a lot more trauma-heavy where everyone's getting hurt. So, we'll say a traditional day, we'll say I'm doing a couple shoulder replacements, potentially a couple shoulder scopes, and then whatever fractures come in. So, the shoulder replacements I plan, so I like to do those first. And plus, if they need therapy, et cetera, they get to work with those eople. Shoulder scopes, you know, I look through their MRIs the day before. I look through them again in the morning to make sure that what I thought the day before is right on, you know, as far as the plan goes.

And then, the shoulder fractures and upper extremity trauma that occurs, I look at the day of as it comes in and kind of come up with a plan, contact the appropriate people. So as far as the length of the day, I like to work out before I go to work, because it's not going to happen otherwise.

Host: So, what is that, like 4:00, 5:00 AM? I feel like that's got to be early.

Dr. Matthew Binkley: 4:45.

Host: 4:45.

Dr. Matthew Binkley: Yep. So, I try to get that under my belt, and then I go home when it's done.

Host: Yeah. I guess to wrap up, what would you like people to know about the work that you do, and the services that we offer at Suburban?

Dr. Matthew Binkley: I think as far as the services we provide at Suburban, I think we have the full gamut of orthopedic services. So, whether you're going to get your knee replaced, your hip replaced, your shoulder replaced, or anything in between, I think we can cover the whole gamut and do a really, really good job. I think the people that are there really care, whether that be your PACU nurse, whether that be the physical therapist who works with you, or anyone else you meet in between. You have a bunch of people that are around that really, really care, that really want you to do well, and really are trying to set you up to succeed.

Host: Yeah. And it's really a team sport, if you will, what you do.

Dr. Matthew Binkley: Absolutely.

Host: It's not just you. Thank you so much. Yep. Dr. Matthew Binkley, who is an orthopedic surgeon at Millard Fillmore Suburban Hospital. We appreciate your time. And here's to another 10 years of helping Western New Yorkers get back to their lives.

Dr. Matthew Binkley: I hope so.

Host: All right. Thanks so much.

Dr. Matthew Binkley: Thank you.

Host: Thank you for listening, and we will see you next time on Medically Speaking.