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Suite 405
1815 South Clinton Ave
Rochester, NY, 14618.

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Tomaino Arm Care Network

Dr. Tomaino's Blog

Art and Science

December 8th, 2011
Practicing medicine is both Art and Science. While SCIENCE relies on reproducible experimentation, objective measurements, and unbiased assessment of data--- THE ART -----how we interact with our patients, our compassion and empathy -----comes from being human.

I started a BLOG as a way to comment both on the ART and the SCIENCE of what I do so passionately, day in and day out. Although many of my Blogs, since starting Tomaino Orthopaedic Care, have been more philosophical, observational, and spiritual in nature----- and my objective in writing them has been
to grow and inspire, through the introspection that my commentary, and yours, might provoke---- my future Blogs will focus as much on the SCIENCE.

Indeed, weekly I receive inquiries from around the country----from patients who have questions about their Arm condition-- searching for answers and guidance. Although this Blog will never attempt to offer medical advice, I can use the broader inquiries I receive as a platform for providing informative content that may be of value.

In the end, I hope that this Blog might inspire a deeper appreciation of not only what ails us, but of how blessed we are as well.



I recently had a dental visit . I am always instructed to take antibiotics before. However this time I was really cautioned on the dAnger of infection and the consequences. Can you comment dr Tomaino on the possibility of infection following shoulder replacement and how it relates to these procedures?? Maybe I am being overly concerned but even a minor procedure was a big deal to them!!!!

December 12th, 2011 @ 3:48 pm
Dr Tomaino

Bacteremia from a variety of sources can cause hematogenous seeding of bacteria onto joint implants, potentially. Although this is uncommon, the safest practice is to take an appropriate antibiotic an hour before in order to safeguard, to the extent possible, against the development of a deep joint infection. In my practice I recommend prophylaxis. For the American Academy of Orthopaedic Surgeons (AAOS) position, visit this link:

December 17th, 2011 @ 10:38 am

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