In news paper today article on footsurgery

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Dear All

Today the 22nd march 2011 in a newspaper was an article on Foot Surgery.

The dumb woman had since childhood predisposed to bunions and over the years her symptoms got worse. At times she was in agony in her favourite

BUNION CRUSHING SPECIAL 48" HEELS:butcher:

Inflamed Bursae, tissue breakdown and joint pain so bad could not walk with gross deformity.

Saw Physio Chiropractor GP etc etc etc. All advised tough, change your shoes. She did her pain subsided and she was able to wear her high heels again but for short periods.

Anyway after many years of this she bit the dust and found a leading Orthpaedic Surgeon who used a new minimal invasive technique to screw the 1st MPJ into a normal alignment..

She was delighted etc etc.

So what shoes was she wearing in the article????:bash:

YUP you got it in ONE

5" HEELED BUNION CRUSHING STILLETO'S

Now i try to credit women with intelligence, but stories like this lead me to doubt this belief.

I wonder how the Surgeon feels about how his skills are being treated.

David:deadhorse:

 

Probably something along the lines of:
$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$!

Nobody else offered the patient treatment and she got advice to change her shoes. She sees this surgeon who takes her money and does the surgery. The surgeon may or may not have given her advice on recurrence if she chooses to wear shoes such as these. Either way, once the patient is out of your clinic, it's up to them what they do.

The frustrating thing that this case highlights is that no matter what you do for a patient, you have no control over their choices that can negatively impact on your treatment. It's similar to a patient presenting in a clinic with a corn on their 5th toe. You tell the patient that their shoes are 2 sizes too small and enucleate the corn. Patient departs and buys a new pair of small shoes that rub the toe and will cause the corn to return as time goes by. Same problem, different treatment. It just depends on how you feel about the situation as a whole. I wonder if the surgeon will offer the patient further surgery when the bunion returns due to wearing these shoes and how much will they charge? I also wonder whether the patient expects to get the revision surgery done for nothing? :santa2:

 

You can take a horse to water, but you can't make him drink.

You can tell someone why their hips are worn out, but you can't stop them eating pie.

You can straighten a joint but you can't stop them wrecking it again.

The key concern here for me is not the clinical outcome, which is out of our hands, but in communication and liability. As Bob says its horribly easy to picture the conversation when she comes back all surprised and indignant that the surgery "didn't work". Was there a clear and unequivocal conversation before the surgery in terms of what the patient would have to do after it? Is there reference in the consent form to the risk of recurrance and the factors which would affect that risk?

If so then the surgeon should sleep safe and happy, knowing that he did a good job and gave the patient the chance to get better. What happens after is no comment on how his skills are treated, nor should it cause :bang:. If she wants to B****r her feet up she has a perfect right to do so. They are, after all, her feet :drinks and I'm sure she looks great in her heels. Just so long as she doesn't blame us.

And looking on the summer side, perhaps she just wore her killer heels for the photo shoot.

 

I bet the leading (whatever that means) orthopod probably said something along the lines of 'we'll have you back in those shoes' whilst the thought of publicity and more cosmetic bunions streams through his / her door = £££££££££££ as Bob said.

However I do have a slight issue at the tone of the argument against the patient here.

Privately if a patient wants their bunions corrected, has been consented and knows all the benefits, risks and complications associated with the procedure and shoe choice following surgery then surely it is entirely up to them what they wear post op.

As I think Steve Arbes has alluded to in another thread. Would this be the same argument against a football player returning to training too soon following surgery. That is their chosen aggravating factor as is this patients footwear.

George

 

David got to ask are you enjoying being back in the UK ?

 

Hi mike,

in a Word

YES:drinks

Enjoyed Aus a lot, and if i had been young and beautiful, as opposed to not, I would have stayed and moved to either Tasmania or the Sunshine Coast area QLD. This would be near Hervey Bay and Maryborough.

Truly if you go to Aus Tassie is an absolute MUST:drinks

Here is proving fun getting a job, even getting benefits is not on.

Overseas four years, money in bank, worked continuously 25 years. Not an alci or druggie.

Sorry chap no can help you.:bang:

So back down dole friday for another interview to sort out what if anything i am eligible for.

A stunningly beautiful day here on the Suffolk Coast, warm too. Great to be back.


So no NHS jobs so Private Practice it may have to be

David

 

Great to hear.

Dont let my flag and location fool you my passport says im fair dinkum product of the sun burnt land.

Lived in Burnie Tas for a couple of years. Is a beautiful place.

Goodluck with the new private practice, Im sure it go well.

 

There is a band 6 biomech post coming up down my way if you're interested. PM me