QC pilot, Michael Nightingale, of Orion, Illinois, is flying high at the Mt. Joy Airport, Davenport, after losing weight, prior to his successful double knee replacement surgery at ORA Orthopedics.
The sky is the limit for Quad City pilot, Michael Nightingale, of Orion, Ill., after a mandate from his total joint replacement orthopedic surgeon to lose weight before he could undergo total knee replacement surgery.
Possible non-surgical relief for joint pain
Michaelโs successful weight-loss journey is an inspiration to anyone caught in an endless cycle of joint pain, yet too overweight for surgical relief.
โBefore my weight loss, I weighed 300 pounds,โ explains Michael. โMy knees hurt too much to exercise, but I couldnโt have surgery until I lost the weight.โ
To add insult to injury, the once active and retired Deere maintenance electrician couldnโt fly the plane he built because it hurt too much to climb onto the wing and into the cockpit.
โThe knee pain was so bad, I could barely walk. Without a plan Iโd be in a wheelchair.โ
To stay out of a wheelchair, Michael turned to ORA

Dr. Steven Boardman, ORA Orthopedics
For help, Michael turned to ORA Orthopedics total joint physician, Dr. Steven Boardman, who also happened to be a fellow pilot like himself.
Together, they developed a plan for Michael to lose weight before he could undergo total knee replacement surgery on both knees.
How did Michael do it?
โMy BMI (Body Mass Index) was too high,โ he recalls. โDr. Boardman said I had to lose weight.
โI saw my regular doctor who referred me to a Genesis program called, โIdeal Protein.โ I started counseling and weighed in once a week. They tracked my BMI readings, weight, and really monitored me the whole way. I changed my diet and 3 months later, I had lost about 40 pounds.
After a 40 pound loss of weight, Michael had his first surgery
โAt that point, Dr. Boardman performed my first knee replacement surgery on my right knee. He performed the second knee replacement 6 months later.โ

Michael Nightingale is able to climb in and out of the cockpit of his plane now that he’s lost weight and received two new knees.
โMichael is a fantastic success story,โ says Dr. Boardman. โHe had no complications. This is what I want to see from our total joint patients.โ
Dr. Boardman says Michaelโs weight challenges are not unusual.
โHe is certainly not alone. I am seeing more and more patients who would benefit from total joint surgery, but because they have BMIโs of 40 or higher, they are at risk.
โObesity can contribute to sleep apnea, which puts patients at risk during surgery, and heavier weight can contribute to infections or fractures after surgery.โ
The Centers for Disease Control (CDC) defines BMI as a calculation based on a personโs weight and height.
Why weight loss matters for orthopedic surgery
โWe used to take patients as they were, despite the risk factors, but many would suffer complications โ which are both painful and expensive, and can double or even quadruple costs,โ explains Dr. Boardman.
โMy surgeries and rehab were great,โ attests Michael.
โTen months after my weight-loss journey began, I lost 80 pounds, had 2 new knees, and climbed into the experimental plane my brother and I took 7 years to build!โ
Nearly a year later, Michael weighs about 220 pounds, is now totally off his blood pressure medicine, and is also working to reduce his cholesterol medication. He plans to maintain his healthy lifestyle by working out at the local YMCA.
โMy goal is that every patient have a successful surgery and recovery,โ adds Dr. Boardman.
โI evaluate every patientโs health and weight, discuss my concerns for those with BMIs averaging over 40 or higher, and formulate a plan to manage their pain while they lose weight โ all before performing surgery.โ
A patient-centered approach to care

The skies look clear for Michael now.
Dr. Boardman says the goal is to optimize the patientโs health before surgery, by reducing modifiable risk factors such as high BMIs. The end result is fewer complications from surgery and a quicker recovery after surgery.
Michael would agree. His successful recovery has put him back in his plane and flying all over the United States.
โI tell everyone that pain motivated me to change my life.โ
Possible non-surgical relief for joint pain
Michaelโs successful weight-loss journey is an inspiration to anyone caught in an endless cycle of joint pain, yet too overweight for surgical relief.
โBefore my weight loss, I weighed 300 pounds,โ explains Michael. โMy knees hurt too much to exercise, but I couldnโt have surgery until I lost the weight.โ
To add insult to injury, the once active and retired Deere maintenance electrician couldnโt fly the plane he built because it hurt too much to climb onto the wing and into the cockpit.
โThe knee pain was so bad, I could barely walk. Without a plan Iโd be in a wheelchair.โ
To stay out of a wheelchair, Michael turned to ORA

Dr. Steven Boardman, ORA Orthopedics
For help, Michael turned to ORA Orthopedics total joint physician, Dr. Steven Boardman, who also happened to be a fellow pilot like himself.
Together, they developed a plan for Michael to lose weight before he could undergo total knee replacement surgery on both knees.
How did Michael do it?
โMy BMI (Body Mass Index) was too high,โ he recalls. โDr. Boardman said I had to lose weight.
โI saw my regular doctor who referred me to a Genesis program called, โIdeal Protein.โ I started counseling and weighed in once a week. They tracked my BMI readings, weight, and really monitored me the whole way. I changed my diet and 3 months later, I had lost about 40 pounds.
After a 40 pound loss of weight, Michael had his first surgery
โAt that point, Dr. Boardman performed my first knee replacement surgery on my right knee. He performed the second knee replacement 6 months later.โ

Michael Nightingale is able to climb in and out of the cockpit of his plane now that he’s lost weight and received two new knees.
โMichael is a fantastic success story,โ says Dr. Boardman. โHe had no complications. This is what I want to see from our total joint patients.โ
Dr. Boardman says Michaelโs weight challenges are not unusual.
โHe is certainly not alone. I am seeing more and more patients who would benefit from total joint surgery, but because they have BMIโs of 40 or higher, they are at risk.
โObesity can contribute to sleep apnea, which puts patients at risk during surgery, and heavier weight can contribute to infections or fractures after surgery.โ
The Centers for Disease Control (CDC) defines BMI as a calculation based on a personโs weight and height.
Why weight loss matters for orthopedic surgery
โWe used to take patients as they were, despite the risk factors, but many would suffer complications โ which are both painful and expensive, and can double or even quadruple costs,โ explains Dr. Boardman.
โMy surgeries and rehab were great,โ attests Michael.
โTen months after my weight-loss journey began, I lost 80 pounds, had 2 new knees, and climbed into the experimental plane my brother and I took 7 years to build!โ
Nearly a year later, Michael weighs about 220 pounds, is now totally off his blood pressure medicine, and is also working to reduce his cholesterol medication. He plans to maintain his healthy lifestyle by working out at the local YMCA.
โMy goal is that every patient have a successful surgery and recovery,โ adds Dr. Boardman.
โI evaluate every patientโs health and weight, discuss my concerns for those with BMIs averaging over 40 or higher, and formulate a plan to manage their pain while they lose weight โ all before performing surgery.โ
A patient-centered approach to care

The skies look clear for Michael now.
Dr. Boardman says the goal is to optimize the patientโs health before surgery, by reducing modifiable risk factors such as high BMIs. The end result is fewer complications from surgery and a quicker recovery after surgery.
Michael would agree. His successful recovery has put him back in his plane and flying all over the United States.
โI tell everyone that pain motivated me to change my life.โ
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