San Francisco Shoulder 
Elbow & Hand Clinic
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Healthcare Safety
Healthy Living
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Holiday Schedule
The office will be closed on the following dates:

Jan. 1st., New Year's Day Jan. 20th, MLK Day 
Feb. 17th, Presidents Day
 May 26th, Memorial Day 
4th of July! 
Sept. 1st, Labor Day 
Nov. 27th - 28th, Thanksgiving
Dec. 25th, Christmas Day 

Our New Office!

We are very happy to show you our new office space. We continue to add little touches and would love to give you a tour on your next visit.

 Our mailing address has not changed. We're just a shor
t walk down the hall from our previous office. 
We look forward to seeing you. 

Issue: #6
May 2014

Welcome to our Monthly Connection Newsletter.  We are delighted to have this forum to connect with you and our network of healthcare professionals. We hope you enjoy the articles in our newsletter. We'll include tips and ideas for healthy living, patient experiences, current healthcare news and a spotlight on our team and our healthcare network. As we grow into this exciting new way of communicating, we encourage you to send us your feedback on topics you'd like to read or hear more about. We also invite you to view our new Facebook and YouTube pages.
Be Safe, Be Healthy, Be Happy!


Beau Ascarrunz, Practice Manager - Administrator
San Francisco Shoulder, Elbow & Hand Clinic


Fly Fishing  


Our very own Dr. Redlin enjoying one of her favorite hobbies. 

May has arrived!

Perhaps many of you will be enjoying a wonderful Memorial Day weekend by barbecuing, camping, or heading out to the beach. Why not try something different and head out to Yellowstone Park for fly fishing. This is an enjoyable yet peaceful sport that is excellent for all ages whether you are with your family or taking some time out for yourself.


Fly fishing involves using the angling method, which is a style used to catch fish with a rod, line and an artificial fly. The fly typically resembles some sort of an insect to lure in fish. The idea of fly fishing is to coax the fish into taking your fly instead of other food in the water. This sport can be done in both saltwater or freshwater. The season typically begins towards the end of May, usually the Saturday of Memorial weekend.


There are some very important things to keep in mind before you begin. Many muscles are used in casting, particularly ones that make up most of the upper body. There are over twenty muscles in the human arm.  In addition, shoulder muscles, abdomen muscles and good balance is essential. To avoid injury to the shoulder, elbow, wrist or any other part of your body, the following types of exercises will help you get ready for your fly fishing trip.

1. Core workouts

There are various workouts that can be done at home to build up your core. Squats, bicycle crunches, push ups, windmills, and even the plank position will help strengthen and stabilize your core body.

Pilates is another activity that helps enhance your core. Pilates consists of low impact repetitive movements that help with flexibility, muscle strength and endurance.


2. Balance

Balance and core workouts go hand in hand with each other. Maintaining a good stance with strong balance will help you stand your ground in the midst of a fast current. Begin with standing on one leg. Your leg doesn't need to be high off the floor. Start small by slightly raising your foot from the ground, in case you need to quickly regain balance. It is sometimes easier to maintain balance when you are focusing your eyes on one thing. Once you have mastered balancing on one leg, try doing it with your eyes closed.


3. Upper Body

Since fly fishing involves a lot of repetition and arm movements, there are workouts that you can do at home to better prepare you before you participate in this hobby. There are a number of exercises you can simply do at home. Dumbbell curls, pull overs with dumbbells, the cobra position, and shoulder presses are good examples of things you can perform at home. Even if you don't have dumbbells at home, you can find many things to use that are just laying around the house like books, canned foods, juice bottles or milk containers filled with sand.  


Bringing these three things together will allow you to have more self control and will improve your overall technique and precision. These tips will only help you benefit from your experience of fly fishing.  

Your shoulders and arms may be sore in the beginning so be sure to let your muscles recuperate before heading back out to the water. Eventually your arm muscles will build up and get used to the motions they are subjected to .

If you are interested in more information on proper stretching and more exercise ideas, check out these helpful links.  


Fishing Stretches 

Upper Body Workouts 

10 Great Arm Workouts 



Patient Corner
"I gotta hand it to Dr. McCarroll; He's a brilliant hand and arm surgeon and expert! Many thanks to my friend who referred me. I have a recurring mucus cyst in my ring finger which develops from having osteoarthritis. The first doctor wanted to do surgery [...] I learned the truth from Dr. McCarroll so that I could make an informed decision. This doctor saved me a lot of grief."

-Sahara G.
Osteoarthritis Patient
Patient Corner
Dr. Norris, Office Members, and Rudy
"The office people and the Doctors are all so good. They helped me through my surgery and stay at the hospital."

-Cynthia V.
Shoulder Orthopaedic Patient


 Healthcare Safety


Gardening Safety


The American Society for Surgery of the Hand (ASSH) recommends that gardeners take the proper precautions to prevent hand-related injuries before digging or planting in the garden this spring.


 According to the Consumer Product Safety Commission (CPSC), emergency rooms treat more than 400,000 outdoor garden-tool-related accidents each year. With proper safety techniques, you can stay away from the hospital and avoid becoming a statistic.


"While protection and safety is important in everyday life, proper hand care is particularly important in the garden," says David M. Lichtman, MD, ASSH Vice President and chairman of the ASSH public awareness committee. "The key to keeping your hands safe and in good condition is common sense."



Healthy Living
May 2014

New Discovery: Having a Life Purpose Keeps You 'Stayin' Alive!'


In the "all things are connected" department, a large-scale longitudinal study has found that people who have a sense of purpose live longer. The research, published in the journal Psychological Science, found that those who had died over the course of the study had reported lower purpose in life and fewer positive relations than did survivors.

Summarized in , the study also found that having a life purpose consistently predicted lower mortality risk across the lifespan, whether for younger, middle-aged, or older participants.

According to the lead researcher, Patrick Hill, the findings indicate that creating "a direction for life, and setting overarching goals for what you want to achieve can help you actually live longer, regardless of when you find your purpose." The study examined data from more than 6,000 people, including their self-reported level of purpose in life, across a 14-year follow-up period.



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