My surgeon has five minutes, I have five months of data

Had my five-month follow-up for the rotator cuff repair last week. The whole appointment, door to door, was maybe ten minutes. The surgeon came in, asked how the pain was, and pushed my arm around for a few seconds. He says, “Looks good, you’re making great progress.” And that’s it.

Meanwhile, I’m sitting on a log with over 150 daily entries. I’ve got flexion and external rotation measurements in degrees, taken with a goniometer. Pain scores, 1-10 scale, twice a day. Notes on sleep quality and how it correlates to next-day stiffness.

I even have the exact date my ROM started to plateau before I started my last cycle. I use an app for it, CareClinic, mostly because logging a pain score from the watch face is faster than finding my phone. The friction is low enough that I actually have a complete data set. I had it open, ready to ask him about the specific window where I saw an 11-degree gain in flexion, but the conversation was already over.

He estimated my ROM by eye, gave lol

This is the fundamental disconnect of modern medicine in a nutshell. You collected n=1 data to optimize a process, and he performed a spot-check to clear a liability.

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