Sydney podiatric surgeon Paul Bours defends claims after being found guilty of unsatisfactory conduct when woman with bunions had three toes amputated
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What does this mean for podiatric surgeons in Australia? Will it ever be recognized? I really don't know how these ladies and men continue to bump their heads against a never ending brick wall.
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Discernment is also very important and surgeons forget there is a real person attached to the foot. Some of these patients for different reasons should be treated conservatively if possible as they have a higher risk for complications.
Steven -
Given the nature of the photos used in the article, it was clearly a beat up!
Has similarities to a previous case in Queensland.
Its being discussed in a facebook group that I am a part of:
https://www.facebook.com/groups/SkepticsInAustralia/permalink/10154758818690711/
...not looking good for the Podiatric surgeons in Australia. I have chosen to not partake in the discusion -
Its amazing that they have used his instagram account pictures they way they have, it gives the whole article a tabloid feel to it, very cheap and more of a personal attack than dealing with the facts.
Did anyone check the two clients to see if they had different size feet prior to the surgery?
Most that have a bunion operation have a shorter greater toe after the operation, but not the entire foot. -
If this is true, it is disgraceful. What on earth was he thinking calling up the professional review colleague and abusing him?!
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Beware of tabloid journalism. The man is innocent until proven guilty.
Bill Liggins -
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But according to the reports the NSW Podiatrist Trubunal has finalised the matter and found him guilty? Is the Hansard available for us to read yet??
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New to here, so didn't know of rule about inserting links in reply posts, so apologies if this info appears twice.
You can go to the Health Care Complaints Commission website and the media release is on the front page.
http://www.caselaw.nsw.gov.au/action/PJUDG?jgmtid=174652
When reading the media release, click on the Caselaw NSW link and you can download the full 55 page document.
Settle in, cause it is quite the read!!Last edited by a moderator: Oct 19, 2014 -
Dr Paul Bours – Tribunal finds professional misconduct
16 October 2014
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Whoa! What a mess, yes “Surfboy”
Some facts which you may want to consider before the public beheading, which has become popular lately with ISIL. I provided photos of drawings on patients feet of intended surgery and notes from Front Desk both were not taken into consideration in the findings (Front desk when you print does not time stamp, but includes the date of origin of the note and any revisions after, but does not have a date time on the printout but only on the computer screen which looked like I embellished my notes). The different foot size was because a patient was due to have the other foot treated at a later date. The amputation of toes case is hotly contested and still in civil proceedings; the HCCC decided that if a patient calls you and you are out of range or have your phone switched off, then when you come back into range or when you switch your phone on that is the time the call registers; in this case I had no calls for 3 days then all of a sudden lots, so I must have been out of range? The photos provided pre, intra, and post operations (I do this for all surgical patients) were not mentioned in the findings even though all patients identified their feet in the photos including one patient with plasters in the debris tray, inconvenient truth.
The tribunal was not critical of my surgical performance but the peri-management. As they say in the classics it’s not over until the fat lady sings, but I admit she is starting to warm up; but I still have the ability to appeal in the Supreme Court if I can spare a few hundred thousand. The HCCC want to cancel my practice rights for 2 years with a $200,000 costs burden- and I thought ISIL was tough. I find out my fate some time in Feb-March. Oh, and the Instagram photo of me with man-boobs was taken earlier this year after 18 months battling to save my leg from amputation after osteomyelitis. I was resting in a kids wading pool with a celebratory wine after the 5th surgery was successful in keeping it.
Fraternally,
Paul Bours. -
I am only part way through reading the document linked above however this line is extremely concerning:
"Radiological measures taken on 2 November 2009, four months after the surgery, revealed that there wasn't radiological fusion:
"The prior surgery is noted with multiple orthopaedic pins and remnants in the tissues but no joint effusion detected..." (X-ray report of Dr Kenneth Sesel, CV1, Tab 7)."
If I can find this error within 3 mins of starting to read what other errors might be in that document?
EFFUSION and FUSION are NOT the same thing..... -
Paul,
My understanding is that if you access the metadata on your computer you will find that every entry you make is date and time stamped. This means that the time/date of any entry, deletion or change is always recorded.
Have a look at the latest APMA journal there is an article about this.
I just skimmed it, but it but it appears Metadata has ramifications for everyone who uses electronic files.
Good luck -
Sorry, it seems that the article I mentioned was not in the APMA news. I googled looking for it without success, however there are many articles on the Metadata and EHR.
http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_050177.hcsp?dDocName=bok1_050177
http://www.forensicon.com/resources/articles/electronic-medical-records-metadata-as-evidence-in-litigation/
Above are two -
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I also had proof of time spent with patients based on the payment of the last patient and the payment time of the next patient in question and that wasn’t considered. Even photos of patients with markings were not considered because the attachment in front desk doesn’t include the time stamp information of the original photo, only the time you uploaded into front desk. It’s a mess, and remember, as a practitioner this is the first time I have needed to get this information so it’s not something that I am familiar with. This is the first time I have heard of metadata and where it is located. My problem is I can no longer present the information or go to a retrial- Supreme Court -
Wouldn't fancy Australia myself personally - all those creepy crawlies, a monotone climate, far from everywhere, insular, and ex-convict settlers.
Good'ay maayte!
:bang::boxing::sinking: -
Bad luck buddy,
:boxing:
:hammer:
:sinking: -
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I drove from Sydney to Melbourne a few years ago. Great, interesting country - and I'd only scraped the surface. Met some really open, fun people and was introduced to the concept of 'the slab'. Didn't meet any convicts - they've got them locked up or sent back. Only downside was that the beer was a bit cold and they can't play cricket.
Pommie Bastard Bill -
There is a known racism problem in Australia which I have learned through media and conversations.
It also has an iffy history - what happened to the aborigines? where did they go? Their rights have been suppressed for a long time.
Let me explain insular. It is extremely tight in who it lets into its country, which is ironic considering they displaced aborigines in the first place. Try getting a visa to get into Australia - Ha!
Cheers
:boxing: :butcher: -
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Most has still to be returned today, and the loss of their land has had a devastating social and physical impact on Aboriginal peoples.
The initial invasions also sparked huge waves of disease that killed thousands – many others were massacred. In just over one hundred years from the first invasion of their land, their numbers were reduced from up to an estimated one million to only 60,000'
(http://www.survivalinternational.org/tribes/aboriginals)
Makes for sober reading doesn't it? I don't think I could watch Neighbours again with the same conviction (pun intended)
:butcher: -
More interesting reading.....
'During much of the 20th century, outright killings were replaced with a policy of removing Aboriginal children from their parents and giving them to white families or placing them in mission schools, to eradicate traces of Aboriginal culture and language.
Today they still face racist attitudes, and there are periodic incidents of violence towards them, particularly affecting those in police custody. Their generally poor living conditions mean that Aboriginal people have a far higher infant mortality rate and suicide rate and a lower life expectancy than the rest of the population, and they make up a disproportionate section of the prison population.'
(http://www.survivalinternational.org/tribes/aboriginals).
:sinking: -
After all, Aussies used to call us (the British) Pommie Bastards.
Pommie Bastard Bill -
Ha Ha Ha....that's actually rather amusing. 'Pommy' - Ha!
I believe it refers to the pale skinned English people's skin turning the colour of a pomegranate in the Australian sun.
Picture of a pommy below:
:bang: -
It's amazing how belief and ignorance go hand in hand!
For your education, POHM as it originally occurred was printed on the convicts' clothing and stands for Prisoner of Her Majesty. The amazing ability of the optimist and general British/Australian humour is to see the irony of a situation. In the end it was not the convict that was the POHM but those that remained back in the mother-land.
You make yourself look foolish when talk about things you clearly are not qualified to talk about.
:bang: -
You are right Postmorem, AH29 (Abul Hasnath) is based in England and knows little to nothing about Australia.
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One should always be careful about making funny remarks about England - I mean, lets face it, there is nothing funny about England.............................
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What rubbish you do speak Rob. I mean, look at our governments(s), look at our road systems, look at our relationship with the EU, above all look at our weather - all hilarious. On second thoughts, you're right, I'm going away to cry. :empathy:
Cheers
Bill -
Hold fast Bill pour something cold and chill..breath. When we were in the UK a few weeks ago the papers had headlines almost identical to Oz. Government, immigration, drugs blah blah, oh but weather it only rained twice we were there for 8 weeks! So guess you will have a drought soon, wow just like Oz. History makes sad reading for most nations, but it just that history and should be a lesson and guide for living in the here and now.
Ahh wisdom and cold Barossa wine a good combination to tackle the worlds problems.
Ros -
Smartsoft has made this change in the latest upgrade.
"CLINICAL NOTES
- Added option to print the Last Modified date on Clinical Notes" -
This is not over:Disgraced podiatrist sells mansion under hammer
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For those interested, I have never heard the term stiletto surgery, and she showed me the photo of the shoes, and I gave an incredulous look as here she presented with trophic issues and derangement and she wanted to wear stilettos I should have taken the cue and advised her to go somewhere else. The patient had end stage RA derangement of her forefoot, including dislocation of ALL her MTPJ's. I operated on her first foot and she was happy to return 6 months latter for the other. WHat is in contention is why she was in the hospital car park having a cigarette and continued against advice during her recovery and whose medications she took after surgery because she wasnt prescribed what she was taking, and why she waited 3 days to call, and why did she present at emergency department and lave after 25 minutes claiming "they couldn't help her, because they didn't' know what had been done', at no stage did she loosen the outer dressing as was in her instructions. More than meets the eye for those that keep looking. In the mean time my career is being trashed, as it seems I am the only foot surgeon who has had complications. Fraternally.
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