Guild in the Wild

In Episode 6 of Guild in the Wild, Dr. Guild sits down with Atlanta sports medicine surgeon Matt Pombo, MD.Dr. Pombo’s story starts with soccer. After tearing his ACL as a young athlete, his own experience with injury helped shape a career that now focuses heavily on sports and soccer medicine.We discuss ACL reconstruction, injury prevention, criteria-based return to play, female ACL risk, specialization in sports medicine, and what separates high-volume subspecialty care from a more general approach.Then the conversation moves into a very different—and much more controversial—area: longevity medicine and peptides.BPC-157. TB-500. GHK-Cu. Growth hormone secretagogues. The “Wolverine Stack.”What are they? Why are people using them? What evidence actually exists? And where does legitimate medical innovation end and the gray market begin?Dr. Pombo shares his approach to longevity, metabolic health, strength, sleep, inflammation, and emerging therapies while acknowledging how much remains unknown.Finally, we head to the lab for a double-row rotator cuff repair and put it through a Guild in the Wild challenge.

In Episode 5 of Guild in the Wild, Dr. Guild sits down with Georgia State Senator and orthopedic hand surgeon Dr. Kay Kirkpatrick.After decades in clinical practice and physician leadership, Dr. Kirkpatrick made an unusual transition from the operating room to the Georgia State Senate. She shares how that happened, what physicians often misunderstand about the legislative process, and how her medical background influences the healthcare issues she works on.The conversation covers Certificate of Need laws, ambulatory surgery centers, healthcare price transparency, Medicare reimbursement, prior authorization, artificial intelligence in insurance decisions, scope of practice, medical misinformation, and the future of medicine.

Episode 4 of Guild in the Wild brings Dr. Jack Manfredi and Dr. Everett Young of Total Joint Specialists into the studio for a wide-ranging conversation on some of the biggest questions facing patients and surgeons in hip and knee replacement.How can physicians rebuild trust in healthcare? Can stem cells or peptides actually regenerate cartilage? When is it really time for a joint replacement? Is outpatient joint replacement safer than the hospital? Does robotic surgery actually produce better outcomes? And what could continued reimbursement cuts mean for patients’ access to care?Dr. George Guild, Dr. Manfredi, and Dr. Young dig into evidence-based arthritis treatment, patient expectations after hip and knee replacement, choosing an experienced surgeon, outpatient surgery, surgical candidacy, mentorship and building a practice, humanitarian joint replacement work in Guatemala, evolving knee alignment philosophies, robotic-assisted surgery, and the economics shaping the future of orthopaedics.And, of course, no episode of Guild in the Wild is complete without a physical challenge.This time, Dr. Manfredi and Dr. Young go head-to-head to see who can remove a well-fixed femoral stem from a sawbones model the fastest — using osteotomes, brute force, and one very important rule: don’t fracture the femur.Like and follow for more candid conversations on hip and knee arthroplasty, innovation, healthcare — and more surgeon challenges.

What does it take to train the next generation of arthroplasty surgeons?In Episode 3 of Guild in the Wild, Dr. Brandon Naylor, Fellowship Director at Total Joint Specialists, joins current fellows Dr. Breydan Wright and Dr. Taylor Den Hartog for an inside look at one of the country's premier adult reconstruction fellowships.Total Joint Specialists has developed a reputation for combining high-volume primary joint replacement, complex revision surgery, outpatient efficiency, and mentorship to prepare fellows for independent practice. In this episode, we explore the philosophy behind the program and the lessons that extend far beyond the operating room.We also discuss:- What Dr. Naylor looks for in fellowship applicants- Why TJS has become a destination for arthroplasty fellowship training- High-volume primary and revision arthroplasty- Building your own surgical technique by learning from multiple mentors- Anterior hip revision surgery- Kinematic alignment and evolving knee replacement philosophies- Teaching in high-efficiency operating rooms- Humanitarian joint replacement surgery in Guatemala- Career development, mentorship, family, and gratitude- Rapid-fire questions and our toughest physical challenge yet: experiencing a tourniquet firsthandWhether you're a medical student, resident, fellow, attending surgeon, or simply interested in leadership and lifelong learning, this conversation offers valuable insights into surgical training, mentorship, and what it takes to build a successful career in orthopaedics.👍 Like the video if you enjoyed it.🔔 Follow for more conversations with leaders shaping the future of orthopaedics.

What does it take to rethink healthcare from the ground up?In Episode 2 of Guild in the Wild, Dr. George Guild sits down with Dr. Charlie DeCook for a wide-ranging conversation about innovation in orthopaedics, challenging long-held assumptions, and what the future of medicine could look like.They discuss Dr. DeCook's journey into anterior hip replacement, the lessons that shaped his surgical philosophy, and why delivering better care sometimes requires questioning the way healthcare has always been done. From evidence-based medicine and research to AI, robotics, hospital administration, and the future of autonomous technology, this conversation explores where medicine is headed, and what surgeons can do to help lead that change.