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Early Post Op Observations

October 15, 2025

It’s just barely Post-Op Day 1. As I’m often wont to do, I let my 5:40 a.m. alarm snooze twice before heading downstairs to spend some time alone in the pre-dawn quiet.

The nerve block is wearing off, and the familiar, illusory sensation of pain is settling in. It’s like an old friend, and I have no fear of our relationship. I will use it for what it’s meant to do: to guard me against injury and overuse. Perhaps it would be better if pain had a more sophisticated way of reminding me. Still, its response is a primitive, instinctual one, not modified much over thousands of years of evolution. Once I am reminded, the rest of the reaction is really just a rounding error.

In my morning meditation, I summoned a massive healing power, which I brought and focused on my shoulder. I do believe that the involuntary systems we rely on for healing can be harnessed.

Usually, I’d be at the gym by now, but I’ll listen to my doctor and refrain from any activity whatsoever, except for a short walk, for one week. Next week, I’ll add uphill walking and hiking. It’s all fine.

Being a patient after a life perseverating about how to be better on the other side has brought amazing reflections. That’s for another chapter. I am so fortunate to be able to go through this experience with my friend Chris Ahmad, who is not only a consummate surgeon but a master at creating systems that bring best-in-class care to so many patients. His communication only rivals his technical acumen.

Overall, it’s very manageable. I have to run—only 69 days left and I need to make the most of them.

Grateful.

DR. VITALE’S BLOG

The Renewal of Return: A Grateful Sabbatical

The Renewal of Return: A Grateful Sabbatical

As I prepare to return to the operating room and the office, I look back on this ten-week “forced sabbatical” with deep gratitude: gratitude to my surgeon and friend, Christopher Ahmad; to my partners for covering for me; and to my patients whose schedules were disrupted.

The Family Salute (A Sabbatical Story)

The Family Salute (A Sabbatical Story)

One of my absolute top goals during my sabbatical was to take advantage of space and to spend more focused time with my family. My regular work schedule, while incredibly rewarding, meant that my days often started before my boys woke up…

Recent News

June Is Scoliosis Awareness Month

June Is Scoliosis Awareness Month

Throughout Scoliosis Awareness Month, we will feature cases and stories from our inspiring patients who share their scoliosis journey. We will also focus on advances being made in the pediatric scoliosis field, as we are always striving to improve care and outcomes for our patients.

Michael G. Vitale MD MPH

Pediatric Orthopaedic Surgeon
Specializing in Complex Pediatric Scoliosis
Ana Lucia Professor of Pediatric Orthopedic Surgery,
Columbia University Medical Center