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AHPRA bans orthopaedic surgeon from giving his patients nutrition advice

Discussion in 'Australia' started by Craig Payne, Aug 14, 2016.

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  1. Craig Payne

    Craig Payne Moderator

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    I have been following the case in South Africa where the health profession regulatory authority was wasting their limited resources in going after Prof Tim Noakes for his dietary advice (which I see as being sound and evidence based).

    Now I see that in Australia, AHPRA has acted on a similar issue:
    That really sucks. See this blog post on the issues
    http://foodmed.net/2016/08/13/gary-fettke-tim-noakes-australia-lchf-ahpra-hpcsa/

    I posted comment on that post: Yet AHPRA allows chiropractors to give dietary advice. What are their qualifications to do so compared to Gary Fettke's?

    Pandora's box has been opened
     
  2. Craig Payne

    Craig Payne Moderator

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    Launceston doctor 'silenced' by medical board
    Full story
     
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  5. Boots n all

    Boots n all Well-Known Member

    The question being. What sparked AHPRA's interest in this one orthopaedic surgeon in Launceston in the first place?
     
  6. Craig Payne

    Craig Payne Moderator

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    There was an anonymous complaint.

    Its all to do with power plays in the dietary advice 'industry'.

    It has been fascinating watching what happened to Tim Noakes in South Africa and what he has been subjected to. It has parallels here. I have a lot of respect for what he does and says (and like his book: The Lore of Running - classic 'bible'); I use his other book: 'The Real Meal Revolution" a lot. .... but that book has displeased a lot of people.

    Tim Noakes (and Gary Fettke) are pissing off a lot of the 'establishment' with what they are saying re the low carb stuff .... people who have 'hung their hats' on the opposite do not like it. ... problem is in my limited understanding of the evidence is that what Noakes and Fettke are saying is probably right!

    Fun to watch.
    Will be interesting to see how this all plays out.
     
  7. W J Liggins

    W J Liggins Well-Known Member

    Seems to me this is a 'territorial' dispute. If that is the situation then it is a case of the 'biter bit' (if you'll forgive the expression). When all is said and done the orthopaedic response to podiatric surgery has been nothing if not territorial in the USA, the UK and I believe, Australasia.

    All the best

    Bill
     
  8. Dieter Fellner

    Dieter Fellner Well-Known Member

    By chance I came across this statement taken from the website of a California orthopedic group:

    The foot and ankle is one of the more complex areas of the human skeletal system, and obtaining expertise in this region of the body requires years of training, education, and practice. It is important to know the difference between a podiatrist and an orthopedic surgeon who specializes in foot and ankle if you are seeking care for a foot and ankle problem.

    One of the most significant differences between the two is the level of training each completes. An orthopaedic surgery subspecialist completes 4 years of medical school, a 5-6 year orthopaedic surgery residency, and an additional year of subspecialty fellowship training. As a medical doctor, an orthopedic surgeon who specializes in the foot and ankle has a better understanding of the entire body, including bones, muscles, ligaments, tendons, and joints, as well as medical conditions that may affect your overall health. Through this training, an orthopedic surgeon intimately understands the impact that the entire body can have on a foot and ankle condition.

    Podiatrists attend podiatry school and typically complete a brief residency thereafter. As such, podiatrists are not medical doctors (MDs). While orthopaedic surgeons and podiatrists both may treat foot and ankle problems, the orthopaedic foot and ankle surgeon is qualified to address a more complex level of problems.

    Podiatrists typically treat ingrown toenails, calluses, fallen arches, heel spurs, deformities of the feet, and some common foot and ankle injuries. They can provide important treatment for foot problems related to diabetes and other systemic illnesses. Orthopedists also treat heel spurs, fallen arches, foot deformities, and injuries, but are trained to manage the full spectrum of problems involving the bones, muscles, tendons, ligaments, and soft tissues of the foot, ankle, and lower leg. Your orthopaedist will determine the root of your problem and prescribe medications, physical therapy, bracing, or surgery to correct the problem.



    https://www.spoc-ortho.com/patient-resources/health-articles/what%E2%80%99s-difference-between-foot-and-ankle-surgeon-and-podiatrist


    I find this statement a troublesome and inaccurate characterization of the profession, especially in regard to the comment about the residency requirement. After fours years of full time education there is a mandatory 3 year hospital medical & surgical residency. Podiatrists are performing complex trauma surgery, ankle replacement and fusion, arthroscopy, reconstructive foot surgery, limb salvage surgery etc. In many of the States the Podiatrist is legally recognized as a Physician. Turf wars are alive and well.
     
  9. Craig Payne

    Craig Payne Moderator

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    I agree that this is a turf war between those that give dietary and nutrition advice. In this one, I side with Tim Noakes and Gary Fettke.

    Their critics are using the regulatory process to silence them.
     
  10. Craig Payne

    Craig Payne Moderator

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    For those following this case; how appalling is this:
    https://www.dietdoctor.com/want-destroy-tim-noakes

    The HPCSA issued a press release about Noakes being found guilty before the hearing even finished!
     
  11. Dieter Fellner

    Dieter Fellner Well-Known Member

    So, I haven't looked into this in great detail (skim read only) but isn't Noake's argument about diets similar to Atkin's diet?
     
  12. Craig Payne

    Craig Payne Moderator

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    yes.
    I been following this since the beginning. His advice is very evidence based (I have his books); there are people just simply out to get him ...
    This blog post just showed up:
    http://foodmed.net/2016/10/28/noakes-guilty-verdict-devoid-truth-joan-adams/
     
  13. Dieter Fellner

    Dieter Fellner Well-Known Member

    Ok, so what's happening to this doctor is appalling. But - Atkins himself followed the diet. He died as a result of a freak accident. He fell, here in NYC and hit his head on the pavement causing a subdural hematoma. He had a history of heart attack, CHF and hypertension. On autopsy his arteries were found to be clogged with atherosclerosis. So, how healthy is this diet?
     
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    The orthopaedic surgeon referred to in opening post got smacked by AHPRA:
    http://www.nofructose.com/introduction/help-be-a-voice-for-lchf-after-gary-is-silenced/
     
  16. Craig Payne

    Craig Payne Moderator

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    Press Release:
    Board endorses doctors giving dietary advice
    24 Nov 2016
     
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  19. Dieter Fellner

    Dieter Fellner Well-Known Member

    Dr. Fettke advocates eating more meats & eggs. That's been a lifelong interest of mine, notwithstanding health guru advice. I'm standing with him on that.

    I still don't know how I feel about his complaints against him. How would Dr. Fettke feel about a dietician offering advice on orthopedic conditions? In the US we have to exercise due diligence about working out of scope. Why should an orthopedic surgeon feel qualified to provide dietary advise? Is this common sense or is this opinion, on his part. As I mentioned before, the Atkins diet isn't universally approved.

    Owning a MD doesn't necessarily entitle a doctor to own all aspects of health-care provision.
     
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