Michael Miao MD - Desert Orthopaedic Center

01/28/2026

My first position out of training was at Kaiser in Fontana. I could never get a patient into Physical Therapy due to the excessive wait times for appointments (up to 6 months) so I had to run my patient’s physical therapy myself with the help of 7 homemade instructional pamphlets. It worked pretty well at the cost of my time and effort. The benefit was pretty good outcomes for my patients. Kaiser saved a pretty penny too. So much so that I was given an “Innovation Award” for my efforts. My partners all used them for their patients for years after I left.

Separately, for the local PTs, an explanation of why I’m so demanding on the quality of care for my Las Vegas/Henderson patients.



https://www.yahoo.com/news/articles/kaiser-workers-walk-citing-staffing-161112480.htmlenta hllalerina

An estimated 31,000-plus Kaiser Permanente workers in California and Hawaii are on strike Monday morning after union leaders said Kaiser officials failed to bargain in good faith. Leaders with the United Nurses Associations of California/Union of Health Care Professionals, or UNAC/UHCP, say they wan...

01/16/2026

I got to know Scott Rodeo, MD when I started working with USA Swimming as he was the Head Physician for the program. In the field of Orthopaedics, he is well respected as one of the most "sound advice" resources not tainted by industry money, fame, corporate associations and the like.

I do make available PRP as there are studies that support it's use in arthritic joints for pain management. I also, with balanced discussion, make it available for tendon related issues and see, as expected, mixed results of benefit and no benefit. I don't see any specific downsides to trying other than out of pocket costs. Remember, steroid injections into tendons results in degeneration of the tendon and risk of further damage and possible rupture in certain cases. Prolotherapy is injection of sugar solutions into the tendon to create a dramatic inflammation response (and subsequent scarring). Not something I care to do.

I usually respond to questions on stem cells in the be careful save your money mode. Especially when using someone else's stem cells as there has been reported transfers of cancers to recipients.

Remember the history of covered wagons and the elixirs sold out of the back of them. Opportunity needs buyers.

“As head team physician for the New York Giants, I routinely have athletes asking about supposed ‘breakthrough’ stem cell treatments,” writes Scott Rodeo.

01/14/2026

This is new to me. I had heard in the last couple of years there was a new type of nomination for health care workers. I think this replaces the Top Doctors annual issue. Not sure. I'll pass this along since this is the first time I've seen this.

Vegas Inc 2024 Health Care Headliners Nominations

01/14/2026

Since 1945? We used to have a regular drive by in my neighborhood from a motorcycle officer from LAPD. How did I escape raking up huge fines and jail time?

LOS ANGELES — The Los Angeles City Council voted Tuesday to move forward with repealing a city law that one member of the panel described as “uncommonly silly.”In a 14-0 vote, the council voted to direct the city attorney to draft an ordinance to repeal Los Angeles Municipal Code Section 56.16...

01/12/2026

Congratulations to Deuce Gruden for a new record!!!.

Gruden shared a personal update to his social media.

01/11/2026

I should have watched it more often back in the day. Perhaps my english grammar grade would have been better. The song was fun and memorable.

https://www.instagram.com/reel/DTL1iJ9EsLP/?igsh=MXBydzlianVjMzdtMg==

01/10/2026

Fun to see things your children do

When it comes to architecture, Julia Koerner is teaching students to think outside of the box. Koerner, an associate adjunct professor in UCLA Architecture and Urban Design with collaborations in Academy Award-winning costume designs, works on innovative design techniques – such as 3D printing –...

01/09/2026

The inflammatory response is the same thing as the healing response in our body. It is the body's reaction to normal and abnormal tissue injury/damage and sets in motion the chemical and cell changes that seek to remove the problem (in the case of infectious bacteria and viruses, for example), resolve the injury to the tissue by using chemical signals to bring in removal cells, repair cells, building cells, and finish the rebuilding phase to restore (as best as it can) the function of the tissue damaged. That's a very very generic description of the inflammatory system we have. It has to be flexible enough to handle most things but can't restore all things. In our body the only tissue that heals back to it's original state is the bone. All other tissues heal by scarring, so scar tissue is normal. Scar tissue that interferes with function, if modifiable or preventable, is an important goal in Orthopaedic sports medicine and the use of motion/physical therapy/?other.

In the general world of nutrition, exposure to chemicals, etc, the inflammation process is the same. It's trying to ward off problematic things, and repair things. Foods and exposure to chemicals, processed items, etc that create an inflammatory response are the ones that you need to looks at. Natural and organic have been terms used to indicate more healthy options, but it's still important to look at the label/fine print. I tell my patients to think about what's out there in nature as opposed to what needs to be "made". Things that you can't pronounce or spell are not in your favor. Chemicals can be about preserving and availability. Also chemicals can be about tricking you're senses. In addition, chemicals are about cost effectiveness and profit margins.

It's not the inflammatory response. It's the triggers we expose our bodies to.

What your favorite TikTok influencer gets right — and wrong — about this widespread concern.

12/28/2025

Soprano sax hockey rink and 104 years. Sounds incredible . Kenny G has something to aspire to.

https://www.facebook.com/share/v/17cCpqQvXU/?mibextid=wwXIfr

12/27/2025

Our Christmas was blessed with everyone home at the same time and sharing experiences together. Perhaps our last chance to have a more prolonged visit as Tyler and Jared are about to embark on their careers.

12/24/2025

Happy holiday ( and anytime else) traveling. Take a deep breath and relax…

https://www.instagram.com/reel/DSnBSvZDm1-/?igsh=ZWFkczZ0MTZudWts

12/10/2025

Another stumble and find. Amazing. I took one jazz piano lesson in my youth and appreciate what I don’t have the talent to do.