Real Conversations That Move You Forward

Dr. Vani Sabesan, MD

“We’re really good at fixing rotator cuffs. We’re not great at getting them to heal.” Orthopaedic shoulder surgeon Dr. Vani Sabesan — the Florida Orthopaedic Society’s first female president — joins Dave and Mike for an unusually candid hour about the limits of surgery. Roughly 17 million people have a rotator cuff problem, and past 60 it is closer to one in three, so the interesting question is not whether a repair can be done but whether the body will knit it back together. Hence her interest in muscle sparing technique and in biologic scaffolds, and her impatience with six weeks in a sling. She is equally blunt about the technology arms race: robots in shoulder and joint surgery are a great marketing tool, but the science has not shown them to be the next panacea. Along the way — why she switched to knotless sutures fourteen years ago when it was still heresy, why “ninety is the new seventy” in Palm Beach, the sixty-year-olds playing competitive pickleball six days a week who just want to be shot up so they can keep going, and the ninety-year-old who still trains six days a week. She has also run 28 marathons herself.

Dr. Ryan Simovitch

The shoulder is the most mobile joint in the body — and that mobility is exactly why it breaks down. Orthopedic shoulder surgeon Dr. Ryan Simovitch joins Dave and Mike to explain reverse total shoulder replacement in plain English: why the rotator cuff decides which replacement you get, and how reversing the ball and socket restores stability when the cuff can no longer provide it. They also dig into the “constant warrior” problem — the play-every-day crowd who train with no moderation and no preparation until something tears — plus the simple at-home shoulder routine Dave gives patients (wall slides, cross-body stretches, shoulder shrugs, and scapular retractions), the Duke anatomy class that pulled Dr. Simovitch into medicine, and why doing your own research beats taking a recommendation from the water cooler.

Read the recap: Total vs. Reverse Shoulder Replacement: How Surgeons Decide

Dr. Rami Elkhechen, M.D.

Orthopedic surgery isn't always the answer — and knowing when it is may be the most important call a surgeon makes. Dr. Rami Elkhechen, M.D., a board-certified, fellowship-trained sports medicine orthopedic surgeon with Orthopaedic Care Specialists in North Palm Beach, joins Dave and Mike to dig into exactly that. Trained at NYU School of Medicine with a sports medicine fellowship at New Orleans' Ochsner Sports Medicine Institute — and a former assistant team physician for the Saints and Pelicans — he treats everyone from weekend athletes to trauma patients, with a focus on hip arthroscopy, shoulder surgery, cartilage preservation, and orthobiologics. Together they unpack what actually separates a surgical candidate from someone better served by conservative care, why rehab so often decides the outcome, and how patients can take a more active role in their own recovery.

Read the recap: Cartilage Transplants: Rebuilding a Knee Instead of Replacing It

Dr. Richard Weiner, M.D.

World-renowned orthopedic surgeon Dr. Richard Weiner joins Dave and Mike for a candid conversation about joint replacement, staying active as you age, and what it really takes to get patients moving pain-free again. With more than 35 years in practice and thousands of hip and knee replacements to his name, Dr. Weiner brings a uniquely technical eye to orthopedic care — shaped by his training in both engineering and medicine at the University of Pennsylvania. A must-listen for anyone considering surgery or determined to avoid it.

Read the recap: Knee Pain: What to Try Before You Think About Surgery

Logan Van Sant, DPT

Doctor of Physical Therapy Logan Van Sant sits down to share what modern physical therapy really looks like — beyond the stretches and exercises most people expect. Logan digs into how the right movement, at the right time, restores strength and confidence after injury, and why the therapist-patient relationship is at the heart of every successful recovery. A genuine wealth of knowledge from one of the sharp young minds shaping PT today.

Kayla Dorsey, DPT & Dr. Murray Goldberg, M.D.

A double-header of expertise. Kayla Dorsey, a Doctor of Physical Therapy with over a decade of hands-on experience, unpacks how personalized, one-on-one care changes recovery outcomes. Then Dr. Murray Goldberg — a board-certified urologist serving Palm Beach County since 1991 — joins to discuss men's health, aging well, and why staying proactive about your body pays off for decades. Two perspectives, one theme: taking ownership of your health.

Dr. Timur Urakov, M.D.

Spine surgery, demystified. Dr. Timur Urakov, Associate Professor of Clinical Medicine at the University of Miami, joins the show to explain how today's spine care has changed — from minimally invasive techniques to the advanced surgical technology now used to treat conditions along the entire spine. He and Dave tackle the questions patients are most afraid to ask about back and neck surgery, and when it is (and isn't) the right call.

Dr. Tom Saylor, M.D.

The hand is the body's most intricate tool — and repairing it takes a specialist. Hand and upper-extremity surgeon Dr. Tom Saylor joins Dave and Mike to talk about the surgical side of restoring hand function, from carpal tunnel and tendon repairs to complex reconstruction. It's a natural fit for First Rehabilitation, home to a certified hand therapy program, and a fascinating look at how surgeon and therapist work hand-in-hand to bring patients back to full function.

Intro to Dave's Background

The one that started it all. In this first episode, Dr. Dave Kashuba tells his story — how he built First Rehabilitation of North Palm Beach from the ground up in 1991, what four decades and 87,000 patients of his own have taught him about healing, and the philosophy behind the name Pain 2 Power. Co-host Mike McGann draws out the moments that shaped Dave's approach to care, resilience, and why “our people make the difference” is more than a tagline.