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Kelly | Orthopedics Blogs
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Kelly IV, MD, is an associate professor of orthopedic surgery at the University of Pennsylvania. 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ORTHOPEDICS TODAY Hawaii</a> </li> <li class="first"> <a class="all" href="/web/20131009215521/http://www.healio.com/orthopedics/meetings/meeting-news-coverage" title="News" target=""> Meeting News Coverage</a> </li> </ul> </li> <li><a href="/web/20131009215521/http://www.healio.com/orthopedics/careers" title="Careers" target=""> Careers</a> <ul class="sub_menu"> </ul> </li> </ul> <script type="text/javascript"> jQuery(".nav>li:last>a").addClass("last"); //fix for IE last-child style </script> <!-- /nav --> <!-- main-content --> <div id="main-content"> <!-- breadcrumbs --> <p id="breadcrumbs"> <a href="/web/20131009215521/http://www.healio.com/"> Healio</a> <span>›</span> <a href="/web/20131009215521/http://www.healio.com/orthopedics"> Orthopedics</a> <span>›</span> <a href="/web/20131009215521/http://www.healio.com/orthopedics/blogs"> Blogs</a> </p> <!-- /breadcrumbs --> <!-- blog-content --> <div class="blog-content"> <!-- blogs content tabs --> <div class="blog-tab-group"> <ul class="blog-tabs"> <li> <a href="/web/20131009215521/http://www.healio.com/orthopedics/blogs/case-studies-in-sports-medicine">Case Studies in Sports Medicine</a> </li> <li> <a href="/web/20131009215521/http://www.healio.com/orthopedics/blogs/glaser">Glaser</a> </li> <li> <a class="current" href="/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly">Kelly</a> </li> <li> <a href="/web/20131009215521/http://www.healio.com/orthopedics/blogs/patellofemoral-update">Patellofemoral Update</a> </li> <li> <a href="/web/20131009215521/http://www.healio.com/orthopedics/blogs/van-atta">Van Atta</a> </li> </ul> <!-- tab "panes" --> <div class="blog-panes"> <div class="eviblog-header"> <a id="layout_0_maincontent_0_blogcontent_0_HyperlinkBlog" href="/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly">Kelly</a> </div> <div> <!-- blog bio --> <ul class="blog-bio"> <li class="img"> <img src="/web/20131009215521im_/http://www.healio.com/~/media/Images/Blog Authors/Orthopedics/Kelly_John_D_IV_blog.jpg" alt="" width="70" height="87"/></li> <li> John D. Kelly IV, MD, is an associate professor of orthopedic surgery at the University of Pennsylvania. He focuses his blog on helping surgeons reduce stress while achieving balance in their practices and families.</li> </ul> <!-- /blog bio --> <div class="blog-post"> <p class="meta-info"> Tuesday, October 8, 2013 </p> <h2> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_lnkBlogPostTitle_0" class="postTitle" href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/value-of-learned-optimism-is-to-cultivate-self-compassion-and-gentleness">Value of learned optimism is to cultivate self-compassion and gentleness </a> </h2> <p class="meta-info"> John D. Kelly IV, MD </p> <div class="blog-intro"> <p class="Bodytext1">I was in the operating room doing a routine hip scope, like I have done hundreds of time before, showing the fellow “how it is done.” After placing an anchor in the acetabulum, the fellow tactfully and kindly indicated that the anchor had penetrated the joint. </p> <p class="Bodytext">Years ago, in a previously less enlightened state, I used to handle such mishaps with a barrage of negative self-talk with mental “tapes” from parents, teachers or coaches along the lines of “you are incompetent,” “how could you,” “this is inexcusable,” and “you call yourself a surgeon.”</p> <p class="Bodytext">Now after years of therapy and self-healing, I have learned to be kinder and gentler to myself. </p> <p class="Bodytext">Mistakes always happen. They are part of the human condition. Our response to mistakes determines our character and happiness. We can look at mistakes as a justification for self-condemnation or as an opportunity for growth.</p> </div> <div class="readmore"> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_BlogPostLink_0" href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/value-of-learned-optimism-is-to-cultivate-self-compassion-and-gentleness">Read more...</a> </div> </div> <div class="blog-post"> <p class="meta-info"> Friday, September 6, 2013 </p> <h2> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_lnkBlogPostTitle_1" class="postTitle" href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/consider-what-kind-of-fall-harvest-you-want">Consider what kind of fall harvest you want</a> </h2> <p class="meta-info"> John D. Kelly IV, MD </p> <div class="blog-intro"> <p class="Bodytext1">Resilient orthopedic surgeons bounce back from difficulty. They overcome adversity and emerge stronger. According to noted psychologist and physician stress expert, Wayne Sotile, PhD, resiliency is based not so much upon number of hours worked, but more so on how one manages one’s emotions and relationships. Essential to this self mastery is maintaining a “caring connection” in our lives. Our actions hold the key.</p> <p class="Bodytext">Sotile continually reminds other physicians in his lectures and writings that mastery of emotions and relationships is largely determined by how many “uplifts” one receives in the course of a day. A kind word, a generous act, a gesture of love or forgiving sentiment from another will enable one to negotiate the stressors of life and will yield huge dividends in productivity and happiness.</p> <p class="Bodytext">Sotile elaborates that the presence or absence of hassles in one’s life means nothing. The quantum of uplifts will determine happiness and resiliency. To be sure, resilient surgeons embrace several hassles daily. What distinguishes the resilient ones from the “burned out” ones is the presence of uplifts.</p> </div> <div class="readmore"> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_BlogPostLink_1" href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/consider-what-kind-of-fall-harvest-you-want">Read more...</a> </div> </div> <div class="blog-post"> <p class="meta-info"> Friday, August 9, 2013 </p> <h2> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_lnkBlogPostTitle_2" class="postTitle" href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/a-resilient-life-requires-daily-decisions">A resilient life requires daily decisions</a> </h2> <p class="meta-info"> John D. Kelly IV, MD </p> <div class="blog-intro"> <p class="Bodytext1">Sometimes “hard calls” can be challenging. Decisions which encourage close relationships – especially decision about family – will bring more lifetime peace than decisions based on secular considerations. </p> <p class="Bodytext">Wayne M. Sotile, PhD, a noted psychologist and stress expert, refrains that resiliency is about how we mange emotions and relationships. I have repeatedly mentioned the virtue of mindfulness, or living in the moment, as a means of managing one’s emotions. The other half of the resiliency formula is keeping relationships in repair, especially spouses and children.</p> <p class="Bodytext">I would like to share one decision I made recently which has yielded great dividends in nurturing closeness with my daughter.</p> </div> <div class="readmore"> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_BlogPostLink_2" href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/a-resilient-life-requires-daily-decisions">Read more...</a> </div> </div> <div class="blog-post"> <p class="meta-info"> Tuesday, July 9, 2013 </p> <h2> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_lnkBlogPostTitle_3" class="postTitle" href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/how-is-your-wifes-countenance">How is Your Wife's Countenance?</a> </h2> <p class="meta-info"> John D. Kelly IV, MD </p> <div class="blog-intro"> <p class="BodyCxSpFirst">“Do you want to know whether a man has character or not? All you have to do is look at his wife’s countenance, and everything that he’s invested or withheld will be in her face.”</p> <p class="BodyCxSpMiddle">– <i>Visiting preacher to Bill McCartney, former National Champion Collegiate football coach and founder of Promise Keepers</i></p><br/> <p class="BodyCxSpLast" style="margin: 0in 0in 10pt;">This comment holds great wisdom. I have repeatedly emphasized the value of a strong marriage in one’s quest for a resilient and happy life. I suggest we each take an honest look at our spouse’s countenance (face) regularly so we can gauge our character and investment in our marriages. </p> </div> <div class="readmore"> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_BlogPostLink_3" href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/how-is-your-wifes-countenance">Read more...</a> </div> </div> <div class="blog-post"> <p class="meta-info"> Thursday, June 13, 2013 </p> <h2> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_lnkBlogPostTitle_4" class="postTitle" href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/lessons-learned-from-my-father-john-d">Lessons learned from my father: 'John D'</a> </h2> <p class="meta-info"> John D. Kelly IV, MD </p> <div class="blog-intro"> Father’s Day is bittersweet for me. I truly appreciate the gift of fatherhood and couldn’t imagine life without my wife and children. However, this June will mark the 10th anniversary of my father’s passing. My father was truly a remarkable man who taught me many precious life lessons. </div> <div class="readmore"> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_BlogPostLink_4" href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/lessons-learned-from-my-father-john-d">Read more...</a> </div> </div> <div class="blog-post"> <p class="meta-info"> Monday, May 6, 2013 </p> <h2> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_lnkBlogPostTitle_5" class="postTitle" href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/develop-custody-of-the-eyes-to-resist-temptation">Develop 'custody of the eyes' to resist temptation</a> </h2> <p class="meta-info"> John D. Kelly IV, MD </p> <div class="blog-intro"> <p class="Bodytext1">I have written much on the value of a dedicated and totally committed marriage. More than ever, I recognize the power of a sacred union as a safeguard against stress. </p> <p class="Bodytext">A question I have been asked is how does one deal with temptation. Temptations are all abound. And it could be easy to “stray” in a weaker moment. It is better to ask why one feels vulnerable.</p> <p class="Bodytext">Psychologists tell us we break our vows in search of intimacy. The fact that certain conversations may go too far indicates your relationship with your spouse is in need of repair. Let the temptations be a warning sign that you need to quickly address your loss of emotional closeness with your spouse. Seek the help of a therapist. Make time to rekindle the flames of passion. Get to know your spouse again.</p> <p class="Bodytext">Looking for intimacy elsewhere is indeed a symptom that you have lost that all important emotional communion with your spouse.</p> </div> <div class="readmore"> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_BlogPostLink_5" href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/develop-custody-of-the-eyes-to-resist-temptation">Read more...</a> </div> </div> <div class="blog-post"> <p class="meta-info"> Tuesday, April 2, 2013 </p> <h2> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_lnkBlogPostTitle_6" class="postTitle" href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/law-of-the-echo-negative-feelings-are-attracted-to-negative-events">Law of the Echo: Negative feelings are attracted to negative events</a> </h2> <p class="meta-info"> John D. Kelly IV, MD </p> <div class="blog-intro"> <p class="Bodytext1">Many spiritual writers proclaim a universal “truth” – we will receive in return what we “put out there” to the universe. This phenomenon has been described as “karma,” the law of attraction or simply the Law of the Echo. In other words, we receive positive or negative energy in accordance to what signal we emit. </p> <p class="Bodytext">For example, one who complains criticizes and finds fault with others will attract negative events and people into their lives. The negative emotions one emits will bring back to that person energy of a similar frequency. Chronic complainers tend to hang out with each other. Have you ever noticed how you feel after being with someone who is hypercritical? I guarantee your mood declines.</p> <p class="Bodytext">This concept of negative emotions also gives credence to this law. I have had mornings where one unfortunate occurrence seems to have led to a cascade of negative events. The misplaced cars keys led to hurried breakfast, spilled coffee, skipped love letter to my wife, mindless speeding on the expressway only to arrive to a meeting late which put me into a negative mindset before “the big case.” One negative feeling was attracted a series of negative events. And yes ... the case didn’t exactly flow effortlessly.</p> </div> <div class="readmore"> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_BlogPostLink_6" href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/law-of-the-echo-negative-feelings-are-attracted-to-negative-events">Read more...</a> </div> </div> <div class="blog-post"> <p class="meta-info"> Wednesday, March 6, 2013 </p> <h2> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_lnkBlogPostTitle_7" class="postTitle" href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/overcoming-procrastination-will-open-the-gates-of-creativity">Overcoming procrastination will open the gates of creativity</a> </h2> <p class="meta-info"> John D. Kelly IV, MD </p> <div class="blog-intro"> <p class="Bodytext1">“Procrastination is attitude’s natural assassin. There’s nothing so fatiguing as an uncompleted task.” – William James</p> <p class="Bodytext">William James, noted psychologist of the late 19th century, certainly knew a thing or two about burnout. Many stress management gurus discuss a focus on energy management, rather than time management, as a means to stay resilient.</p> <p class="Bodytext">Procrastination simply saps us of our energy and erodes our soul. We slowly deplete our “life force within” and have less to give to our families, friends and patients. There is even emerging evidence that procrastination potentiates illness, from insomnia to immune dysfunction.</p> </div> <div class="readmore"> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_BlogPostLink_7" href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/overcoming-procrastination-will-open-the-gates-of-creativity">Read more...</a> </div> </div> <div class="blog-post"> <p class="meta-info"> Wednesday, February 6, 2013 </p> <h2> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_lnkBlogPostTitle_8" class="postTitle" href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/laughter-is-the-best-medicine">Laughter is the best medicine</a> </h2> <p class="meta-info"> John D. Kelly IV, MD </p> <div class="blog-intro"> I visited my 88-year-old mother in her assisted living facility this past weekend. As I customarily do, I just sat in her apartment and listened to her concerns as I watched one of her favorite religious programs on television (at 100 decibels as my mother refuses to get hearing aids). </div> <div class="readmore"> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_BlogPostLink_8" href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/laughter-is-the-best-medicine">Read more...</a> </div> </div> <div class="blog-post"> <p class="meta-info"> Monday, December 31, 2012 </p> <h2> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_lnkBlogPostTitle_9" class="postTitle" href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/we-create-our-own-reality">We create our own reality</a> </h2> <p class="meta-info"> John D. Kelly IV, MD </p> <div class="blog-intro"> <p class="Bodytext1">As the year draws to a close, it is an opportune time to reflect on the quality of our lives. Perhaps the best question we can all ask ourselves is “how peaceful am I”? Peace and joy are sadly lacking from many in medicine. This is particularly important for physicians – peaceful physicians render better care of their patients, have more to give to their patients and families and are more resilient.</p> <p class="Bodytext">How can we become more peaceful and joyful? The answer lies in ourselves, not our conditions. In essence, it depends on our thinking.</p> </div> <div class="readmore"> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListView1_BlogPostLink_9" href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/we-create-our-own-reality">Read more...</a> </div> </div> <!-- pagination --> <div id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_pagination_divPagination" class="pagination"> <ul> <li> <a class="current page" href="/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly?Filter=&startItem=0"> 1 </a> </li> <li> <a class="page" href="/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly?Filter=&startItem=10"> 2 </a> </li> <li> <a class="page" href="/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly?Filter=&startItem=20"> 3 </a> </li> <li> <a class="page" href="/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly?Filter=&startItem=30"> 4 </a> </li> </ul> </div> <!-- /pagination --> <div class="eviblog-footer"> Powered by EviBlog</div> </div> </div> </div> </div> </div> <!-- /main-content --> <!-- sidebar --> <!-- googleoff: index --> <div id="sidebar"> <!-- googleoff: index --> <div class="sidebar-box meta-box"> <div id="layout_0_ctl01_sidebarabovead_0_phblogsidebar_0_PanelCategories"> <ul class="categories"> <li class="header"> <h6> Category </h6> </li> <li> <a id="layout_0_ctl01_sidebarabovead_0_phblogsidebar_0_ListViewCategories_hyperlinkCategory_0" href="/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/categories/business-of-orthopedics">Business of Orthopedics</a> </li> </ul> </div> <ul class="archives"> <li class="header"> <h6> Archives</h6> </li> <li><a onclick="ToggleVisibility("month-2013")" class="year">2013</a></li><ul id="month-2013" class="month"><li><a onclick="ToggleVisibility("entries-20132")" class="month">February (1)</a><ul id="entries-20132" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/laughter-is-the-best-medicine">Laughter is the best medicine</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20133")" class="month">March (1)</a><ul id="entries-20133" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/overcoming-procrastination-will-open-the-gates-of-creativity">Overcoming procrastination will open the gates of creativity</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20134")" class="month">April (1)</a><ul id="entries-20134" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/law-of-the-echo-negative-feelings-are-attracted-to-negative-events">Law of the Echo: Negative feelings are attracted to negative events</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20135")" class="month">May (1)</a><ul id="entries-20135" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/develop-custody-of-the-eyes-to-resist-temptation">Develop 'custody of the eyes' to resist temptation</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20136")" class="month">June (1)</a><ul id="entries-20136" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/lessons-learned-from-my-father-john-d">Lessons learned from my father: 'John D'</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20137")" class="month">July (1)</a><ul id="entries-20137" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/how-is-your-wifes-countenance">How is Your Wife's Countenance?</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20138")" class="month">August (1)</a><ul id="entries-20138" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/a-resilient-life-requires-daily-decisions">A resilient life requires daily decisions</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20139")" class="month">September (1)</a><ul id="entries-20139" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/consider-what-kind-of-fall-harvest-you-want">Consider what kind of fall harvest you want</a></li></ul></li><li><a onclick="ToggleVisibility("entries-201310")" class="month">October (1)</a><ul id="entries-201310" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/value-of-learned-optimism-is-to-cultivate-self-compassion-and-gentleness">Value of learned optimism is to cultivate self-compassion and gentleness </a></li></ul></li></ul><li><a onclick="ToggleVisibility("month-2012")" class="year">2012</a></li><ul id="month-2012" class="month"><li><a onclick="ToggleVisibility("entries-20121")" class="month">January (1)</a><ul id="entries-20121" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/lessons-learned-from-mother-teresa-on-proactivity">Lessons learned from Mother Teresa on proactivity</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20122")" class="month">February (1)</a><ul id="entries-20122" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/recharge-your-batteries">Recharge your batteries</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20124")" class="month">April (2)</a><ul id="entries-20124" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/our-soldiers-and-the-orthopedic-surgeons-who-care-for-them">Our soldiers and the orthopedic surgeons who care for them</a></li><li><a href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/marriage-retreat">Marriage retreat</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20126")" class="month">June (1)</a><ul id="entries-20126" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/more-on-the-scourge-of-perfectionism">More on the scourge of perfectionism</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20127")" class="month">July (1)</a><ul id="entries-20127" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/draw-upon-the-art-of-surgery">Draw upon the 'Art of Surgery'</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20128")" class="month">August (1)</a><ul id="entries-20128" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/reflections-on-uncle-tony-a-real-hero">Reflections on Uncle Tony, a real hero</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20129")" class="month">September (1)</a><ul id="entries-20129" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/lessons-from-flight-instructors-illustrate-the-value-of-preflight-and-postflight-checks">Lessons from flight instructors illustrate the value of 'preflight' and 'postflight' checks</a></li></ul></li><li><a onclick="ToggleVisibility("entries-201210")" class="month">October (2)</a><ul id="entries-201210" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/silver-lessons-to-love-is-to-listen">‘Silver’ lessons: To love is to listen</a></li><li><a href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/abraham-joshua-heschel-provides-valuable-lessons-for-surgeons">Abraham Joshua Heschel provides valuable lessons for surgeons</a></li></ul></li><li><a onclick="ToggleVisibility("entries-201212")" class="month">December (2)</a><ul id="entries-201212" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/we-create-our-own-reality">We create our own reality</a></li><li><a href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/make-the-proactive-choice-to-be-a-light-rather-than-a-critic">Make the proactive choice to be a 'light' rather than a critic</a></li></ul></li></ul><li><a onclick="ToggleVisibility("month-2011")" class="year">2011</a></li><ul id="month-2011" class="month"><li><a onclick="ToggleVisibility("entries-20112")" class="month">February (1)</a><ul id="entries-20112" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/time-with-your-spouse">Time with your spouse</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20114")" class="month">April (1)</a><ul id="entries-20114" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/fill-your-holy-days-with-forgiveness">Fill your holy days with forgiveness</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20116")" class="month">June (1)</a><ul id="entries-20116" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/stress-management-preparation-is-key">Stress management: Preparation is key</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20118")" class="month">August (1)</a><ul id="entries-20118" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/more-on-marriage">More on marriage</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20119")" class="month">September (1)</a><ul id="entries-20119" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/how-to-deal-with-less-than-perfect-surgical-results">How to deal with less than perfect surgical results</a></li></ul></li><li><a onclick="ToggleVisibility("entries-201112")" class="month">December (1)</a><ul id="entries-201112" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/smokin-joe-s-lessons-for-life">Smokin Joe’s lessons for life</a></li></ul></li></ul><li><a onclick="ToggleVisibility("month-2010")" class="year">2010</a></li><ul id="month-2010" class="month"><li><a onclick="ToggleVisibility("entries-20103")" class="month">March (3)</a><ul id="entries-20103" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/sleep-your-life-depends-on-it">Sleep: Your life depends on it</a></li><li><a href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/thoughts-on-the-health-care-bill">Thoughts on the health care bill</a></li><li><a href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/staying-resilient-for-you-your-patients-and-your-family">Staying resilient for you, your patients and your family</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20104")" class="month">April (2)</a><ul id="entries-20104" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/surviving-malpractice">Surviving malpractice</a></li><li><a href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/the-habit-of-being-significant">The habit of being significant</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20107")" class="month">July (2)</a><ul id="entries-20107" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/the-date-with-my-daughter">The ‘date’ with my daughter</a></li><li><a href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/the-retreat">The retreat</a></li></ul></li><li><a onclick="ToggleVisibility("entries-20109")" class="month">September (1)</a><ul id="entries-20109" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/off-to-college-are-you-ready">Off to college: Are you ready?</a></li></ul></li><li><a onclick="ToggleVisibility("entries-201010")" class="month">October (1)</a><ul id="entries-201010" class="entries" style="display:none;"><li><a href="https://web.archive.org/web/20131009215521/http://www.healio.com/orthopedics/blogs/kelly/the-anniversary">The anniversary</a></li></ul></li><li><a 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