Joseph Rubino, III, 52, an orthopedic surgeon with Premier Orthopedics at Miami Valley Hospital South Campus in Centerville, Ohio, passed away on April 5, 2023. He had fought valiantly against cancer.
Premier Orthopedics’ L. Joseph Rubino, III Passes Away at 52

As a sports medicine doctor, he enjoyed working with high school athletes and being a team doctor with University of Dayton Athletics in Dayton, Ohio.
His patients always remarked how caring he was and how he always took the time to give them all the information they needed about their condition and subsequent treatment.
Rubino earned his medical degree from Georgetown University in 1998. He then completed his residency in orthopedic surgery at Wright State University and his fellowship in sports medicine at University of Virginia. He became certified in orthopedic sports medicine by the American Board of Orthopaedic Surgery in 2010.
He was born on April 8, 1970, in Washington D.C. to Lou and Catherine Rubino. He is one of five children. He attended Georgetown Preparatory School in North Bethesda, Maryland, and then went to Villanova University in Villanova, Pennsylvania for his undergraduate degree.
Rubino loved giving back to his community when he was not in the operating room. He was involved with First Tee, a nonprofit organization that teaches children life and social skills through golf; Evan Scholars Par Club which funds scholarships; and YMCA Camp Kern in Oregonia, Ohio.
“Joe was an avid golfer, sports fan and skier, but more importantly, a beloved husband, father, brother, son, uncle, friend and doctor,” his family wrote.
Rubino is survived by his wife of 29 years, Leslie and their four children, Caroline, Julia, Elizabeth, and Joe. He also leaves behind his parents, Lou and Catherine Rubino and his four siblings, David Rubino, Evelyn Butler, Maggie Pilkington and Mary Wall, their spouses; father -in-law Mario Lombardo; his sisters-in-law Lisa Drew and Lauri Lombardo; and his 15 nieces and nephews and other members of his large extended family.

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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