When Patients Aren't Getting Better, What Do You Do?

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We share a candid week of ACL and knee scares to examine why progress stalls and how to respond without blame. From honest workload talks to puberty timelines and recovery basics, we lay out a practical checklist clinicians and families can use right away.

• listener growth and how to request topics
• case stories that trigger self-reflection not self-blame
• second opinions, re-evals and fresh metrics
• workload honesty and adherence barriers
• risk framing for athletes who choose to play
• puberty, growth plate injuries and realistic timelines
• early specialization and repeated flare-ups
• sleep, fueling, hydration and stress as the 80 percent
• when to escalate to imaging or meds
• recap checklist for new clinicians

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