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I find this comment very worrying

Discussion in 'United Kingdom' started by Simon Ross, Oct 19, 2013.

  1. Simon Ross

    Simon Ross Active Member


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    Colleagues,

    I find this comment from another contributor very worrying indeed:

    "I unfortunately trained at the west midlands school and their training for diabetes was virtually non existant."
     
  2. Podess

    Podess Active Member

    Simon Ross,
    I would say that the comment is quite enlightening.

    I believe that the West Midlands School of Chiropody is no longer trading.

    Podess.
     
  3. Simon

    I would be more concerned at the lack of competence and knowledge from the graduate sector rather than those individuals who trained at alternative "schools". At least we know the limitations of the latter and thankfully so do most of the people who come through that training - like the poster in the thread you refer to. What has always surprised and concerned is the competence of quite a few colleagues in the registered sector, some in very senior positions.

    A few weeks ago, a sharp-eyed patient spotted a domiciliary chiropody case at an auction from what appeared to be a house clearance sale - thought it might be of some use to me and promptly purchased it for £20.There were some business cards inside and the owner was a HPC registered podiatrist who was a podiatry service manager in a NHS Trust. From the business card, it would seem that this was their private domiciliary case. I should add that the owner is now deceased.

    I'm not quite sure the photographs do it justice - but the white dish-towels to the side were caked in blood and dried exudate whilst in the little drawer besides the tubes of antiseptics and dressings were dozens of used scalpel blades. A rather unusual contaminated sharps bin!

    All very well worrying and criticising individuals who have taken a training course that we know to be woefully substandard and lacking in most aspects of clinical practice, but I would rather ensure that the graduate sector has the benchmark for competency and clinical excellence before I criticise others.

    All the best
    Mark
     

    Attached Files:

  4. wdd

    wdd Well-Known Member

    And if that represents the standard of 'some' podiatry domiciliary cases it also represents 'some' doctor's, 'some' 'nurses and 'some' vet's dom. cases.

    Let's hope that the podiatry 'some' is smaller than any of the others and keep on striving to make 'some' none.

    Also hope that you never have a visit from 'some' doctors, nurses or vets!

    Bill
     
  5. Simon Ross

    Simon Ross Active Member

    Mark,

    This person may well have put "Podiatry Services Manager" on their business card, but if THAT is the standard of their DOM case, then no matter how good the qualification, experience, clinical skill, that DOM case will put the patient off straight away!


    Mark I like your attitude, you are a very fair person in what you say/your critique!
     
  6. wdd

    wdd Well-Known Member

    Now that's a difficult argument to make. It almost certainly should put the patient off straight away, although I bet that the owners of such cases will claim that their infection rates are no higher than anyone elses and would probably try to claim that their dom. cases are no dirtier than anyone elses.

    It wouldn't put the patients off for three reasons. Firstly the patient doesn't get the view of the dom. case that Mark kindly highlighted for us. The patient almost exclusively sees the other side of the case, ie the part of the case which is facing them, and this rarely indicates the state of contaminated chaos of the interior. Secondly even if they could see the inside of it what would they be using as a comparative model, his workshop, the inside of the fridge, surgical scenes from TV, his clean shirt after he's dropped some food down the front? Even his wife may have some philosophical difficulties if she has washed the shirt and some stains remain, is it clean or dirty? Of course podiatrists know the answer to these questions but patients don't always. Thirdly the patient often has a misguided view of the professionalism of the podiatrist.

    I think there may be a direct correlation between the organisation and cleanliness of the inside of a podiatrist's dom case and the inside of his/her car? So maybe patients should be advised to take a look inside their podiatrist's car before submitting to dom. treatment?

    Mark I like your attitude, you are a very fair person in what you say/your critique!

    No question about it.

    Bill
     
  7. In a different lifetime I did some work in medical sales promoting a certain piece of cryosurgical kit in the UK and USA - something that took me in direct contact with many of my peers. It was a rewarding and sometimes interesting experience as not everyone I visited knew I was a clinician too. I remember visiting a female podiatrist in Manchester who operated from one of her spare bedrooms - which was still kitted out as a bedroom - but with an old hinder-leslie step-up black leather chair in the corner. The workstation was a bedside cabinet and there were no sterilisation - instruments were cleaned in the kitchen sink and kept in a solution of Detol and TCP. What really put me off was that she was a chain smoker - and so were most of her patients - and there were two full ashtrays in the treatment room - one for her and the other for her visitors! Didn't have much of a clue about cryosurgery either - she had seen me at a Society conference and thought it might be a good investment. Much to the annoyance of the company sales director, I managed to persuade her otherwise.

    She was by no means an exception and she was State Registered.

    Not quite in the same league as a unregistered chiropodist that I visited on the south coast who had a fee card for chiropody treatment and another for 'special VIP services'. Had a fairly busy diary too.

    No matter what profession or trade - there are exemplary practitioners and some dire ones too. We are no different.
     
  8. Podess

    Podess Active Member

    Mark Russell,
    I wonder why you bothered to take a 'photo of this grubby retro dom bag? :confused:

    Personally I would have thrown it in the bin.

    Just curious.

    Podess
     
  9. Last time you joined this forum you succeeded in being the first pod to be banned. Clearly you failed in your attempt at joining the medical profession, so kindly do us all a favour and think before you write in future. If you must.
     
  10. Podess

    Podess Active Member

    Mark Russell,
    I think, quite frankly, your attitude is appalling and totally unprofessional

    You seem to be very touchy about a grubbly old dom bag, which is rather sad.

    Quote :

    I have never been banned from this, or any other forum.

    I am working quite happily in Podiatry not the medical profession.

    Podess
     
  11. davidh

    davidh Podiatry Arena Veteran

    Mark, face it - you're a very naughty boy!:D
     
  12. Funny that. You joined last September under the guise of Lovefeet. Same area, same anonymous, sarcastic, condescending early morning posts. Cant quite make up my mind whether is schizophrenia, bipolar or dissociative identity disorder that's behind it, or maybe just because you're a prat. I'm almost minded to ask Mike Batt to resurrect TFS so you can have a suitable venue to spout forth all by yourself, or most likely, yourselves.
    If it looks like sh!t, smells like sh!t, then it's more than likely to be the same sh1t as before...
     
  13. Podess

    Podess Active Member

    Mark Russell,
    Oh boy, you really have got your panties in a bunch over this haven't you?

    I am NOT "Lovefeet" (who joined last September), do not know "Lovefeet", never met "Lovefeet".

    May I suggest you deal with what ever issues you have with this person and stop venting your spleen on unassociated others.

    Podess
     
  14. DTT

    DTT Well-Known Member

    How do you know you haven't met lovefeet then ??:wacko:

    The posting style the questions posed are the same, my post get pulled AGAIN when I challenge you. I also believe you ARE Lovefeet as I said in a pulled post but it matters not as trolls can post anywhere cant they ?:rolleyes:
    Cheers
    D;)
     
  15. Podess

    Podess Active Member

    DTT,

    OK, I'll rephrase that. I have never met anyone who identified him/herself as "Lovefeet".

    I suppose I could have met him/her at the SCP Convention, but if I did, then I wasn't aware of it.

    I can't comment on the rest of your post as I don't know what "Lovefeet" was posting about.

    I can't understand your fixation with trolls and I don't think this looks like me,

    http://www.google.co.uk/imgres?imgu...=5T9lUrOSLOO30QWw4oCIBA&sqi=2&ved=0CEQQ9QEwCQ

    Podess
     
  16. DTT

    DTT Well-Known Member

    Pathetic answer Your also now on my ignore list
    D
     
  17. Podess

    Podess Active Member

    DTT,

    Yippeeeee

    Podess :D
     
  18. wdd

    wdd Well-Known Member

    For me it is a valuable aid in the process of ongoining self-assessment and criticism. Although hopefully the 'grubby retro dom bag' is more representative of a bygone age I would think and hope that it still causes useful self examination in every podiatrist?

    I wonder if the quality hygiene and organisation of dom bags could be inferred from the types of undergraduate examination questions related to dom bags.

    What types of undeergraduated questions re-dom bags were you asked?

    Bill
     
  19. W J Liggins

    W J Liggins Well-Known Member

    Podess

    You can properly answer Mark Russell, Derek and others by simply identifying yourself. That would also have the effect of appearing professional and ensuring that your postings are taken seriously.

    If not, why not?

    All the best and I look forward to 'meeting' you on-line.

    Bill Liggins
     
  20. Podess

    Podess Active Member

    Bill Liggins,
    You said quote,

    I have already explained my reasons for choosing to be "anon" on another posting. I am sorry that some people cannot respect them.

    I don't think my identitiy has any bearing on my postings "being taken seriously". If anon posters on this forum are to be disregarded, as you seems to suggest, then this should have been stated in the Terms & Conditions when I joined.

    Wdd,

    You said, quote

    and I'm not sure what you mean. When I trained the issue of dom bags wasn't mentioned and I had to learn by shadowing other PP pods.

    Podess
     
  21. W J Liggins

    W J Liggins Well-Known Member

    Well, we must agree to disagree.

    Since you lack the courage of your convictions and the professionalism necessary to engage in professional dialogue, I shall, in future ignore you.

    Bill Liggins
     
  22. Podess

    Podess Active Member

    Bill Liggins,
    You said ,

    and that is your choice. Unfortunately, you will not see this response if I am on your "ignore" list

    Podess
     
  23. wdd

    wdd Well-Known Member

    I think that it is likely that in general the focus of interest in undergraduate teaching reflects the nature of practitioner interest at graduate level. If no interest is shown in a subject at undergraduate level it's likely that the vaste majority will show little interest in it at a post graduate level.

    If my hypothesis is correct it is probable that the majority of dom cases currently in use are at least relatively unhygienic and chaotic.

    I would also predict that the previous owner of the case in Marks photo was asked, as an under graduate, some question about the drugs he would put in his dom case.

    Bill
     
  24. Podess

    Podess Active Member

    wdd,
    I can't comment on the hygiene of dom cases generally but the ones I have seen are quite smart. It is easy to keep them tidy by the use of snap-top boxes.

    Just for interest, here is a real "golden oldie",

    ww.ebay.co.uk/itm/ANTIQUE-VINTAGE-CASED-CHIROPODISTS-PODIATRISTS-SET-CHIROPODY-INSTRUMENTS-/300985988334?pt=UK_Antiques_Science_RL&hash=item461429b4ee


    and here's one that's not so geriatric,

    http://www.ebay.co.uk/itm/Footman-C...edical_Specialisations_ET&hash=item1e81bc7535


    I don't know why anyone would want to purchase either of these, but each to their own.


    Podess
     
  25. Which raises an interesting point; dentists and domicillary care? Doctors and domicillary care? Physiotherapists and domicillary care? Discuss. Personally, I avoid these kind of threads like the plague, but maybe these questions will give y'all a new direction.
     
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