Orthopedic surgeon Stephen Minick Neely, M.D., veteran of over 10,000 total joint surgeries during a 20-year career in Nashville, Tennessee, passed away at the age of 77 on September 27, 2022.
Stephen Neely M.D., Veteran of 10,000 Joint Surgeries, Dies Age 77

Dr. Neely, who practiced in the Vanderbilt Wilson County Hospital and the TriStar Summit Medical Center, lived in the Nashville suburb of Lebanon, Tennessee.
Dr. Neely was born on June 1, 1945, in Washington, D.C. to the late Guy Morton and Elizabeth Seymour Neely. He received his medical degree from the University of Virginia School of Medicine and completed his surgical residency at the University of Virginia Medical Center between 1973 and 1975.
Dr. Neely was the first orthopedic surgeon in the Wilson County region, when he moved to Lebanon, Tennessee in 1980.
In addition to his medical practice, Neely was an extraordinarily accomplished mineral collector. His mineral collection can be found in museums around the world.
When he wasn’t serving patients, he spent his free time tracking down miners and minerals from the famous Elmwood and Cumberland mines of Tennessee. Sometimes he would exchange his medical services for specimens to add to his collection. Eventually he expanded his mineral collection to include minerals from around the world.
Dr. Neely served on the board of directors of the Mineralogical Record. He often spoke at mineral symposiums about his collections.
He is survived by his wife of 38 years, Betty Lou, his sons John and Andrew and his granddaughter, Scottie.
“How do you sum up the life of a husband, father, and friend like Steve? Anyone who knew him, knows you could hear his voice before you saw him. That voice was full of wisdom and knowledge, a fierce voice that fought for his family, friends, and what he believed in,” those who knew him best, wrote in his obituary.

Discussion
This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?
Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.
We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.
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