Nick Pappas, MD

Nick Pappas, MD Nick Pappas, MD is a board-certified orthopedic surgeon in New Orleans, LA A New Orleans native, he graduated from St. Martin’s Episcopal School (Metairie, LA).
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Nick Pappas, MD is a board-certified orthopedic surgeon with a Certificate of Added Qualifications (CAQ) in hand surgery who specializes in various hand and upper extremity conditions. He then traveled to Princeton University (Princeton, NJ) for college, where he earned a B.A. in Philosophy and pitched for the baseball team. While at Princeton, he played baseball for all four years on a team that won 2 Ivy League Baseball Championships and made 2 appearances in the NCAA Division I College World Series Tournament. After college, he earned his medical degree from Vanderbilt University (Nashville, TN). He then completed an orthopedic surgery residency at the University of Pennsylvania (Philadelphia, PA). After residency, he returned to Vanderbilt University to complete a fellowship in Hand, Microvascular, and Upper Extremity Surgery. Dr. Pappas has been in practice for over 10 years. He currently serves as a Clinical Assistant Professor of Orthopedic Surgery at both Tulane University and Louisiana State University. He is also a member of the American Society for Surgery of the Hand and serves as a consultant reviewer for the prestigious Journal of Hand Surgery, American. He has an active interest in clinical research with over 30 peer-reviewed publications and multiple textbook chapters to his credit. For a complete up-to-date listing of all Dr. Pappas’s publications, please click the following link: https://pubmed.ncbi.nlm.nih.gov/?term=Pappas+n

02/21/2026

It must’ve been something good…better than the Uncrustables he / she is used to eating at the hospital.

👉 All jokes aside, we do occasionally have medical device and pharmaceutical representative bring lunches, but it always comes with an educational component. We actually have to sign into the lunch, and it is generally reported publicly as part of the Sunshine Act. The Sunshine Act enables transparency for doctors receiving anything of value over $10 from a pharmaceutical or medical device company. Too bad we don’t have this for the wellness industry to ensure transparency there.

Anyway, I find these lunches to be a good opportunity for myself and my resident to learn more about the newest implants and medications available for our patients.

02/20/2026

Comment NEWSLETTER for more similar health information, and I'll send you a link to my free weekly newsletter 🗞️

👉 Longevity medicine is standard good medicine repackaged in a way to make you think there's something more to it than there actually is. Stick with the basics of resistance training, adequate sleep, avoid ultraprocessed foods, don't smoke or drink, and develop good social connections. You don't need to buy some fancy “longevity medicine” program. Save your money for something else.

02/18/2026

While some pimping can certainly turn malignant, I think when done in the right manner it can be a useful way of teaching. That being said, I know some may disagree.

🚨 I’m guessing that pretty much everyone in the medical field was "pimped” by their mentors at one point. Did you find it helpful or did it actually impede your learning? Let me know in the comments.

02/18/2026

Just don't follow me into the bathroom or walk behind me too closely. I certainly don’t mind having students shadow me and do have them on a regular basis; however, keeping a little bit of distance throughout the day is probably best for both parties.

👉 Also, I didn't realize doubles luge was actually an Olympic sport until this year. Talk about not having much personal space.

Join thousands of other subscribers to my free weekly email newsletter, in which I try to simplify the complex world of ...
02/17/2026

Join thousands of other subscribers to my free weekly email newsletter, in which I try to simplify the complex world of medicine while discussing ways to optimize health combined with a touch of humor.

🚨 This week's topic:

Are WEIGHTED VESTS worth the hype?

👉 Here's a link to sign up:
http://eepurl.com/iQYOcQ

Thanks,
Nick Pappas MD

02/17/2026

Both sides of the aisle seem to be seeking a common goal, which is to break up these large insurance companies that are driving up the cost of healthcare in the US

👉 Do you think they should be broken up? Let me know when the comments.

02/15/2026

It's that time of year again! Mardi Gras is actually this upcoming Tuesday.

⚜️Growing up and practicing medicine in New Orleans, Louisiana, I know things can be quite unpredictable around Mardi Gras.

🚨 Do you have a funny Mardi Gras story? Feel free to share it in the comments.

02/15/2026

I know I'm not the only one wondering this. Regardless, as far as I'm concerned, The PITT is the best show on television. Excited to hear there will be a season 3. Maybe they will finally get an Ortho Bro / Sis on there.

02/15/2026

Faster than a speeding bullet!

🦴 All jokes aside, one of the most important things to do when you have an urgent fracture case (e.g. an open comminuted fracture) come in that may need a special implant (one that doesn't live at your hospital or surgery center) is to call the medical device rep. In some cases, they have to bring a special instrument tray along with the implant that needs to be sterilized prior to the start of the procedure. So there are some instances where they do have to get to the hospital as quickly as possible so that the surgery can proceed in a timely fashion.

02/13/2026

Patient autonomy is very important. While it is always the duty of the physician to do no harm, the patient ultimately has the right to make their own decisions regarding their health. As healthcare providers, we do our best to educate patients so that they make the most informed decisions possible.

😷 Would you have let Lindsey go back to skiing one week after an ACL tear? Let me know in the comments.

02/12/2026

Rest in peace, James Van Der Beek. 48 is way too young.

😷 Colorectal cancer screening starts at age 45. We are seeing colorectal cancer in younger and younger individuals in the US, potentially related to the American diet which contains many ultra-processed foods. In addition, environmental exposures may be playing a role.

🚨 Also, I feel obligated to mention that the healthcare system in the US is a mess, and nobody should go bankrupt trying to treat their cancer.

👉 Lastly, has anyone checked on Tweeder today?

Original video credit:

02/12/2026

Avocado hand is real 🥑

😷 As an orthopedic hand surgeon, I'd probably see 2 to 3 tendon lacerations as a result of avocados pit removals with a knife per year. Often these require surgery, which can have a lengthy recovery. Probably best to try to avoid that injury in the first place.

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