About the author:

Howard J. Luks, MD

Howard J. Luks, MD

A Board Certified Orthopedic Surgeon in Hawthorne, NY. Dr. Howard Luks specializes in the treatment of the shoulder, knee, elbow, and ankle. He has a very "social" patient centric approach and believes that the more you understand about your issue, the more informed your decisions will be. Ultimately your treatments and his recommendations will be based on proper communications, proper understanding, and shared decision-making principles – all geared to improve your quality of life.

2 comments on “How Can I Help You?

  • As usual Howard a great and kind intervention that met his needs. A few questions (not to challenge your decision but to help educate my own decision making process.)

    FAMILY – wow how big is your exam room? 2 docs, patient and 4 family members. Do we” treat the patient” not the x-ray or the family system sometimes? (ie did you ask him the question in front of them so they could hear also?)

    EOL – A referral to hospice? What indicated he only had 6 months of life left?

    AGE – What was “telling” about the exam? Did it clearly indicate he didn’t need surgery? Many patients in their 80’s have hip and knee surgery so what were the indicators that lead you to say “you might survive the surgery”.

    EMOTIONAL HEALTH Isn’t it possible he was simply afraid of the surgery? Did you follow up on his comment that he “didn’t want to be a burden on his family?” (often an indicator of severe depression and 1 of the 3 cardinal signs of potential suicide – perceived burdensomeness)

    (PA student)

    • All great questions … Details were left out for the sake of post brevity … but enough to get the message across. I hope.

      Thanks for your comments !!

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