Thomas Bottiglieri
@DocBottsNY
Chief Sports Physician & WellnessDirector-ColumbiaOrtho-NYP, NYC. opinions my own. interests…Exercise Medicine, HRV, Concussion, Ultrasound.
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“Medicare? Government program. Medicaid? Government program. Employer plans? Tax-subsidized and federally regulated. Marketplace plans? Wouldn’t exist without subsidies; most people pay a fraction of the actual premium. We’ve built the world’s most elaborate Rube Goldberg…
Here’s a fun party trick: ask ten Americans whether we have “free market healthcare” and watch nine confidently say yes. Then show them this: - Employer Coverage: 160M Americans - Medicare: 67M (seniors + disabled) - Medicaid / CHIP: 72M (low-income + kids) - ACA Marketplace:…
Should your child play tackle football? It’s a question I hear all the time and the truth is, football isn’t a safe game. The developing brain is more vulnerable to concussion and long-term injury. My advice: no tackle football before high school. It’s just not worth the risk.…
Football wasn’t always the game we know today. After the Civil War, it was created to toughen young men — and it was brutal. Skull fractures, neck injuries, and chaos on the field led Teddy Roosevelt to step in and make it safer. A fascinating look at how far the game has come.…
I’m really sick of hearing this - the government is not subsidizing people. They’re subsidizing insurance companies. The American people are paying thousands upon thousands of dollars for a product that is - for all intents and purposes - useless. United Healthcare, whose…
I’ve been getting this question a lot lately: “Doc, what’s this German gel everyone’s talking about for arthritis?” Here’s the truth: it’s not a miracle injection that regrows cartilage. It’s a hydrogel scaffold used in surgical procedures to help cartilage scar and heal—not a…
100%…
2010 Republicans: 'In 10-15 years, the ACA will have destroyed healthcare, making things too expensive to function!' 2010 Democrats: 'REPUBLICANS DON'T WANT YOU TO HAVE HEALTHCARE' 2025 Democrats: 'LOOK WHAT REPUBLICANS DID TO DESTROY HEALTHCARE AND RAISE COSTS FOR YOUR FAMILY'
Dear America: If it’s was not obvious to you before, members of Congress have been bought. Here is an example of a member who has been purchased, with 30 pieces of silver, by the health insurance carriers, health systems, and pharmaceutical companies. Every single member of…
I was not in Congress when all this Obamacare, “Affordable Care Act” bullshit started. I got here in 2021. As a matter of fact, the ACA made health insurance UNAFFORDABLE for my family after it was passed, with skyrocketing premiums higher than our house payment. Let’s just say…
“Doc, should I be taking BPC 157?” I get this question every day. My answer? Let’s start with what we can control: nutrition. Before spending money on supplements, optimize your diet. Our ancestors didn’t waste the collagen-rich parts of the animal—bone broth, marrow, beef…
Understanding the differences between mobility and flexibility. docbotts.com/healthcare-new…
Knee dislocations = medical emergencies. They can sever arteries to the lower leg. Always check neurovascular status + call EMS. youtube.com/shorts/HopZgdj… #SportsMedicine #KneeDislocation
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Knee Dislocation: Why It’s a True Medical Emergency
4,000 -> 8,000 steps per day is associated with a 51% reduction in all-cause mortality. 4,000 -> 12,000 steps raises that to 63%. There’s still measurable benefit even beyond that. One of the most powerful longevity interventions known.
I love walking. It helps me clear my head, and spend time with friends outdoors in nature... Walking is great, but religiously seeking more than 10,000 steps per day after you've already exercised to hit some magical threshold that will bring you more longevity doesn't make…
By 2027, your Walmart cereal, cookies, and snacks won’t have Red 40, Yellow 6, titanium dioxide, or parabens... Instead: beet juice, paprika extract, & cleaner labels. The nation’s largest grocer just redefined what “normal food” means. #MAHA
Well done 👍🏼 ✅ Rojas
Ruben, May I take a shot at helping you understand? You receive donations and have become a spokesperson for Banner Health and the University of Arizona teaching hospital, Arizona’s largest nonprofit health system. You say you’re “fighting to make sure” insurance premiums…
Check out the book, The Great Nerve and the latest episode of Tim Ferris with Kevin Tracey, MD - interesting tangent on fish gills, ear cartilage, & HRV.
New Neurology 2025 study: soccer heading causes brain changes on MRI—even w/out symptoms. ⚽🧠 A monumental moment in concussion research. youtube.com/shorts/jpfEhTK… #CTE #SportsMedicine
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Soccer Heading and Brain Trauma: Landmark MRI Study in Neurology 2025
Over-the-counter pain relievers like ibuprofen, naproxen, and acetaminophen are common go-to’s for athletes and active people—but they’re not without risks. ✔️ 3–5 days max ✔️ Take with food ✔️ Don’t overuse. youtube.com/shorts/z8CfzCb… #SportsMedicine #PainRelief
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OTC Pain Medications: Safe Use & What Athletes Need to Know
Humbled by kind words like these 🙏 Always grateful for the chance to help patients feel and move better. #Gratitude #SportsMedicine #PatientCare
Does running ruin your knees? And how old is too old to start? docbotts.com/healthcare-new…
Shin splints aren’t just “soreness” - they’re often a stress injury of the bone that can progress to a fracture if ignored. ⚡ This pain usually shows up in runners and soccer players along the inside of the shin. It may start after activity, but if it builds to pain at rest,…
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