Eastern Orthopaedics

12/08/2025

You may be considering the Pro-Nox Nitrous Oxide System to safely manage pain and anxiety during in-office procedures.
There’s absolutely no downside, it’s not expensive and quickly pays for itself in actually paying for itself, but also in a better experience for the patient and everything that comes along with that.
The following are the Top 10 reasons why many practitioners agree that life is much better for everyone with a Pro-Nox (often expressed with "Can't Live Without"); with having the best sales force and support on the planet as an added bonus -
· Patients really appreciate the comfort and relief.
· Patients tell everyone and it ends up being better PR than actual PR.
· You will safely manage pain and anxiety with close to 100% patient satisfaction.
· The Pro-Nox will differentiate your practice.
· Improve patient retention and practice growth.
· The effects of nitrous are similar to those of conventional IV and opioids, but without the side effects; and the pain relief starts sooner.
· Delivers a very safe mix of 50% nitrous and 50% oxygen. This is minimal sedation analgesia and not considered anesthesia.
· The effects of nitrous are clinically reversed in 5 minutes with patients able to drive in 10-15.
· The Pro-Nox is self-administered allowing the patient to be empowered with their own pain control.
· A calm, compliant patient may result in a better treatment and experience for everyone.
Thanks again, available anytime and Happy Holidays.

Cory (your NJ, DE and half-of-PA rep)
(800) 366-8051
(215) 791-0674 cell
eortho@aol.com
https://eortho.com/carestream
https://carestreamamerica.com/pro-noxtm/
https://www.pro-nox.com/

11/23/2025

Alpha-2-Macroglobulin (an option to eliminate the underlying source of biological degradation) is prepared through a PRP process which is then filtered leaving the final preparation of highly concentrated A*M; not through dehydration, but by filtering out the non-A*M components. CAREstream America is the only option of filtration (vs. just dehydrating everything). The results are often dramatic.
A summary is -
· Alpha-2-Macroglobulin, located in the blood, attaches to destructive enzymes and eliminates them through the body’s own natural processes.
· Inflammatory cells are removed while isolating & concentrating the A*M component by over 6x.
· The naturally occurring A*M molecule is the body’s own defense mechanism, but may be unable to enter the joint or disc space in high enough quantities due to its large size and complex structure. Breakdown may happen when the joint or disc space contain more destructive enzymes than the body can handle.
· Injecting additional concentrated A*M may restore homeostasis to optimize the healing environment removing protease enzymes from the site.
Please see a brief discussion by Dr. Scuderi at the top/right of https://eortho.com/carestream ; with a section of studies, if you like, 3/4 of the way down on the same page.
Here's a short video of the prep -
https://www.youtube.com/watch?v=OWtkdLGIrLQ
Thank you and I'm available (or your outstanding rep - from the most educated and supportive sales force in existence - if you're not in eastern/central PA, NJ or DE) to try with no obligation.

Cory
(215) 791-0674 cell
eortho@aol.com

*m *macroglobulin

09/10/2025

If you're wondering why so many have turned to/are turning to CAREstream America you're not alone.
I think there's two main reasons -
1. The entire team supports one another in the quest to support clients. It's amazing. One rep has a question and 10 others immediately respond with solutions. And don't get me started about the management and clinical staff. They're in the air even before anyone says "jump". It's profoundly unbelievable and I've never before seen this level of on-the-same-wavelength anywhere in the civilian world.
2. The solutions that CAREstream present all work together to serve the real needs of clients. Rather than adding things that may or may not work CAREstream tends to take what already exists and constantly evolves to make it even better.
The examples are -
The Pro-Nox Nitrous Oxide System - safely manages pain and anxiety which plays a remarkable role in patient satisfaction and retention
CAREprp - viable platelet recovery is maximized (and possibly somewhat equal to the viable platelet yield of systems that require a much larger blood draw) in a very simple-to-use system that is easily customized to every individual patient need
Alpha-2-Active - patients may be thrilled to learn of your A*M system that can eliminate their underlying source of degradation by removing inflammatory cells through one's own natural processes - isolates and concentrates and doesn't just dehydrate everything
Water-Assisted Liposuction - almost no destruction of fat cells or surrounding tissues with the water-jet technique - patients often just walk out vs. being carted out spurting blood everywhere - and when re-injection of harvested fat is being performed there's no equal; not even close
The VeinViewer - you will improve 1st stick success by a lot with high-definition real-time imaging directly on the patient (and they often very much appreciate it)
Single-Use Injection Kits - those who embrace this increased compliance to the CDC's Safe Injection Practices never turn back
Serres Suction Bags and Cannisters - are a great way to modernize and optimize your surgical fluid management
Pharma Systems Anesthesia and Respiratory Filters and HCHs - yields up to 99.99% bacterial and viral effectiveness; and protect against TB, Coronavirus and HIV
And, with that, here's the CAREstream site -
https://carestreamamerica.com/
and everything summarized on my site -
https://eortho.com/carestream
Thanks.

Cory
(800) 366-8051
(215) 791-0674 cell
eortho@aol.com

Representing CAREstream America

07/09/2025

Another new client's first time out with CAREprp.
This (from this morning) right out of the centrifuge. Let it sit for a minute and the buffy coat/red blood cell layer settled nicely into a straight line.
Then, by rotating the bottom collar, pushed the buffy coat to the bottom of the neck of the tube, let it sit for another 30 seconds to settle some more and then slowly pushed a bit more (to where the top of the red blood cell layer was in the middle of the neck of the tube).
That way we captured the monocytes and lymphocytes along with some additional platelets and left the inconsequential neutrophils behind to serve as an additional barrier from the red blood cells; yielding a Monocyte-Rich PRP. Pushing a bit more would yield a Leukocyte-Rich PRP and less (to the bottom of the neck) for a Leukocyte-Poor PRP.
Not all systems are perfect all the time for every patient so we have our standard parameters and if, by chance, something doesn't come out right (variabilities from patient to patient) we can make some simple adjustments to the tube and spin again for 3 minutes.
The yield can be customized as can the process if needed.
Our weekly training keeps us well-educated and constantly evolving and we pass that on to you. Once internalized you can easily make these adjustments (in a matter of seconds) when needed.
Truly a system that can serve many patients quite well with the corresponding gratification of a job well done.
Thanks.

Cory
(800) 366-8051
(215) 791-0674 cell
eortho@aol.com
https://eortho.com/carestream

06/21/2025

A brief summary of three CAREstream favorites (plus why CAREstream is a favorite) is -
CAREstream America - We exist to find the best solutions for you (even if not from us), are constantly evolving & learning and always put your needs before our own. We care more about you than about making a sale.
The Pro-Nox Nitrous Oxide System - Significantly improve patient retention and often declared as essential.
CAREprp - Save time optimizing platelet recovery.
Water-Assisted Liposuction (especially when harvesting fat for re-injection) - There is almost no destruction of fat cells or the surrounding tissues during the harvesting process.
Thank you as I enter my 34th year serving clients like you and will be available anytime over the next 40 years or so.
Sincerely,

Cory
(800) 366-8051
(215) 791-0674 cell
eortho@aol.com
https://eortho.com/carestream
https://carestreamamerica.com

*m

05/29/2025

This short video, I believe, captures the essence of what CAREstream America is all about. From the venerable Pro-Nox Nitrous Oxide System to CAREprp (which maximizes the potential of PRP) to the gentle Water-Assisted Liposuction System (which changes how liposuction is viewed) to the groundbreaking A*M system, VeinViewer, enormously popular Single-Use Injection Kits, Pharma Systems Anesthesia/Respiratory Filters & HCHs and Serres Surgical Fluid Management Disposable Suction Bags and Reusable Cannisters we consistently do what we do to the best of our ability; with weekly training and constant evolution to do even better.
Others do what they do best and we remain in our lane to be the best of the best in our respective arena.
There are some extraordinary new approaches to the CAREprp System that your local rep might like to show to you (especially if you're in NJ, DE or the eastern half of PA; because it's me) and the Water-Assisted Liposuction method is very rapidly becoming recognized for what it will allow you to do (with myself and our OUTSTANDING clinical specialist guiding you through patient trials to see for yourself before committing).
The entire team is exceptional and functions as a single unit. It's quite amazing and even though it took me 29 years to find such a company - better late than never.
Got sidetracked a bit. Here's the video -
https://www.youtube.com/watch?v=6Dt0IdxNPYI
Thanks.

Cory
(800) 366-8051
(215) 791-0674 - cell
eortho@aol.com
https://eortho.com/carestream
https://carestreamamerica.com

*m

CAREstream America was honored to be a finalist for the ACG Orlando SMART Awards 2025. These awards highlight excellence in corporate culture, growth, creati...

05/12/2025

I don't get easily excited, but sometimes do and now is one of those times. Just spent a few hours last week with our Water-Assisted Liposuction Clinical Specialist (who's a Nurse and an Engineer) and two Clients (and their entire Staff) to put the finishing touches on getting my head completely around the larger system.
The small one has been very popular because it's ideal for harvesting small volumes of fat for facial procedures; so it's "it" for Facial Plastic Surgeons.
The larger one (as pictured on the left) functions the same, but just has more functions and can do it all (to include small volumes).
You may be asking "Why Water-Assisted Liposuction" (vs. traditional methods and/or manual fat harvesting). A few highlights are:
- a gentle spray loosens fat and simultaneously aspirates/automatically micronizes with almost no destruction of fat cells or surrounding tissues
- much higher quality of harvested fat without harvesting unwanted tissues
- the quality/viability comes from the method of harvesting and not from processing - you begin with the best quality right from the start
- the survival rate of harvested fat is around 90%
- may complement an existing system, but is still easier on the patient when performing liposuction without fat grafting (no tumescence technique, shorter procedure times, general anesthesia not required, very high patient satisfaction, etc.).
Thank you and I would be THRILLED to serve you and your staff to give you another tremendous option for your patients.
We often begin with 1-3 patient trials and I can even share my notes from last week with you if you'd like to take a look.
In the meantime -
Available anytime at your convenience.

Cory
(800) 366-8051
(215) 791-0674 cell
eortho@aol.com
https://eortho.com/carestream - studies near the bottom
https://carestreamamerica.com/body-jet-evo/ - the "evo" page

05/06/2025

Please check out, if you like, the extensive updates on my site’s CAREstream page - https://eortho.com/carestream
A brief summary, too, of everyone’s favorites is -

The Pro-Nox Nitrous Oxide System
· Effectively and safely helps to manage pain and anxiety with close to 100% satisfaction.
· Significantly improve patient comfort during painful procedures; and, consequently, patient retention, practice growth and a more pleasant experience for everyone.
· Similar to conventional IV and opioid analgesia, but without the side effects.

CAREprp
· Designed to optimize platelet recovery, without red blood cell contamination (unless desired), yielding higher concentrations at lower volumes with less blood drawn.
· A short spin from a 23ml blood draw produces a result that allows you to create a yield that maximizes the potential of PRP.
· Unlimited thorough in-person training.

Water-Assisted Liposuction (for Aesthetics and/or Regenerative Medicine)
· Gentle spray to loosen fat/simultaneously aspirate to maximize fat cell viability with almost no destruction of fat cells or surrounding tissues during the harvesting process.
· Quality comes from method of harvesting and you will not be harvesting any unwanted tissue. Centrifugation of harvested fat is not required. You begin with the best quality right from the start.
· You are harvesting and micronizing fat in one single step.
· General anesthesia is not required.

Thank you very much and please don’t hesitate anytime.
Sincerely,

Cory
(800) 366-8051
(215) 791-0674 cell
eortho@aol.com

04/15/2025

The attached are a few pics of fat harvested using our smaller Water-Assisted Liposuction system along with a Guide that I put together following training with our Clinical Specialist and adjusted from input with Clients.
The following are the top reasons why Water-Assisted Liposuction is the best method for harvesting fat for reinjection (whether for Aesthetic and/or Regenerative purposes).
For harvesting fat there simply is no equal. When liposuction-only there are several good systems, but Water-Assisted is still often preferred for several reasons. Some will stick with what they're familiar with, but Water-Assisted remains an option -
The Water-Jet Method is a well-established liposuction procedure to harvest fat. With the use of a gentle spray (to loosen fat and simultaneously aspirate) there is almost no destruction of fat cells or surrounding tissues during the harvesting process.
· Tumescence is Not Required
· Procedure Times are Shorter
· Change of Cannulas for Infiltration/Aspiration is Not Required
· Centrifugation of harvested fat is not required. Much higher
quality of harvested fat; without harvesting unwanted tissue.
· General Anesthesia is Not Required
· Very High Patient Satisfaction
You are harvesting and micronizing fat in one single step. The quality/viability comes from the method of harvesting and not from processing. You begin with the best quality from the start.
- Almost all procedures may be performed under local anesthesia.
- Patients experience less pain during the procedure and after surgery; and have shorter recovery times/less swelling and bruising.
- Harvested fat is ready for reinjection without processing.
The survival rate of fat cells is very high - typically around 90%.
Thank you and the entire team is available at your convenience; and we typically begin with 1-3 patient trials.

Cory
(800) 366-8051
(215) 791-0674 cell
eortho@aol.com
https://eortho.com/carestream
https://carestreamamerica.com/body-jet-eco/
https://carestreamamerica.com/micronized-fat/
https://carestreamamerica.com/body-jet-evo/

03/05/2025

Top 10 Reasons Why the Pro-Nox Nitrous Oxide System Might be a Good Idea for Your Practice:
· Patients really appreciate the comfort and relief.
· Patients tell everyone and it ends up being better PR than actual PR.
· You will safely manage pain and anxiety with close to 100% patient satisfaction.
· The Pro-Nox will differentiate your practice.
· Improve patient retention and practice growth.
· The effects of nitrous are similar to those of conventional IV and opioids, but without the side effects; and the pain relief starts sooner.
· Delivers a very safe mix of 50% nitrous and 50% oxygen. This is minimal sedation analgesia and not considered anesthesia.
· The effects of nitrous are clinically reversed in 5 minutes with patients able to drive in 10-15.
· The Pro-Nox is self-administered allowing the patient to be empowered with their own pain control.
· A calm, compliant patient may result in a better treatment and experience for everyone.
Thanks.

Cory
(800) 366-8051
(215) 791-0674 cell
eortho@aol.com
https://eortho.com/what-we-do
https://carestreamamerica.com/pro-noxtm/
https://www.pro-nox.com/

02/05/2025

Introducing the Pro-Nox Nitrous Oxide Minimal Sedation System - an important and seamless solution for your OB/GYN practice or facility to address pain and anxiety (with close to 100% patient satisfaction) to keep your patients comfortable during their visits with you.
The Pro-Nox is a very calming, cost-effective and non-addictive patient-controlled on-demand analgesia system that delivers a mixture of 50% nitrous oxide and 50% oxygen. With its easy-to-use design and rapid onset, it allows patients to experience quick relief without the need for higher levels of sedation. The Pro-Nox is ideal for a wide range of procedures and provides a safe way to manage pain and anxiety for your patients; and, consequently, helps to improve patient retention and practice growth.

OB/GYN Procedures Where the Pro-Nox Can is Often Used:
· IUD Insertions/Removals
· Colposcopy and Cervical Biopsies
· Endometrial Biopsies
· Pelvic Exams
· Laparoscopic Procedures
· Labor and Delivery
· Rejuvenation Procedures

The effects of nitrous are similar to conventional IV and opioid analgesia, but without the side effects.
Painful/uncomfortable procedures become much more tolerable often leading to a better result.
A few related articles, too, are halfway down at
https://eortho.com/what-we-do
Much appreciated and available anytime.

Cory
(800) 366-8051
(215) 791-0674 cell
eortho@aol.com
https://carestreamamerica.com/pro-noxtm/

01/24/2025

CAREstream America has made a habit of searching the world for the very best-of-the-best niche solutions to improve your efficiency, workflow and just overall quality; and usually at a cost savings while maximizing simplicity.
Along with that comes multiple levels of support.
In this case you'll have the manufacturers (from Finland and Sweden - all of whom are REMARKABLE), the respective product managers in the US (the best I've ever seen), the CAREstream personnel and then your local rep (possibly the best on the planet).
So it's no secret that the top hospital systems in the nation are already using the following. Every single box is checked and we all band together to develop the custom solution that will serve you exceptionally well no matter how small or large.
Without further ado I give you Serres Surgical Fluid Management and Pharma Systems Anesthesia/Respiratory Filters and HCHs -

Serres Surgical Fluid Management
Optimize, Modernize and Minimize Cost
· Disposable suction bags. Integrated bacterial filter and overflow protection - 1000, 2000 and 3000ml.
· Reusable suction cannisters.
· Specifically designed for low and medium-volume cases. 2/3 of all cases may be considered low-volume surgical cases - producing less than 2 bags of fluid waste. Medium-volume will generate 2 to 4 bags of waste.
· Will complement/not replace your larger system.
· The Serres Suction Bags are DEHP-free (which eliminates the risk of exposure to your patients). Serres Bags, too, contain 58% less plastic than other solutions and will save you up to 88% of the space on hand for storage. Disposal is also optimized. Adding up all of the above offers a real decrease in environmental impact.
· Significantly Improve Your Workflow

and Pharma Systems Anesthesia/Respiratory Filters/HCHs
· Extensive selection of humidification and filtration devices for every patient need.
· Highest moisture return HCHs.
· Up to 99.99% bacterial and viral effectiveness; and protects against TB, Coronavirus and HIV.
· Manufactured in Sweden with the highest quality materials.
· HMD/humidification and filtration for ventilators and tracheostomy.
Thanks!

Cory
(800) 366-8051
(215) 791-0674 cell
eortho@aol.com
https://eortho.com/what-we-do
https://carestreamamerica.com/serres-fluid-management-solutions/
https://carestreamamerica.com/anesthesia-respiratory-icu/