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Surgeons too quick to amputate

Discussion in 'Diabetic Foot & Wound Management' started by NewsBot, May 31, 2006.

  1. NewsBot

    NewsBot The Admin that posts the news.


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    Medical News Today are reporting:
    Epidemic Of Unneeded Amputations - Physicians Too Quick To Amputate Despite Medical Advances
    31 May 2006
  2. Tully

    Tully Active Member

    The article above appears to be from America, and although I am based in WA I dont think there is much difference here.

    I have patients with significant intermittant claudication symptoms, and partial arterial blockages, who are told by vascular surgeons that surgery is not necessary 'yet'. I have also seen a case where a podiatrist was contacting a public vascular clinic every week (in Perth) to have an ulcer patient seen- in the end they were only seen AFTER developing gangrene.

    Our health system is simply too overcrowded to provide best practise health care.

    If someone has an inspiring story to the contrary I would love to hear it.
  3. Tuckersm

    Tuckersm Well-Known Member


    If the podiatrist had such concerns re a non-healing ischemic ulcer, why didn't they sent the patient to the ED with a well written letter? This would usually result in an urgent Vasc review.

    At our hospital an urgent vasc OP Appt can be arranged within a week, and the vasc reg will often rv patients in the ED.
  4. Tully

    Tully Active Member

    Hi Steven,

    I am not sure why that was not done, as I was a student at the time and not prone to questioning senior podiatrists actions! Perhaps it was one of the many times the ED was on byspass that year.

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