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Post by blinda on Feb 5, 2009 10:34:43 GMT
Hi John,
Yes, i know. Sorry about the whinging thread here, I had a particularly bad week last week. I suppose I miss working in the NHS where you have access to such data and the ability to refer direct.
On the whole, the specialist diabetic team here are top notch and I can not fault them in their successfully decreasing incidence of diabetic related amputations in our Trust.
Cheers, Bel
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Post by davidsmith on Feb 6, 2009 10:39:36 GMT
Exactly. Really strengthens yer faith in the system, eh? But just how involved do we become in care after referral? I`ve been there before, 4 years ago, (when i was a `qualified` chiropodist, but a mere `podiatry student`- according to the GP) where I referred a pt with acute Charcot Neuroarthropathy, via the reluctant GP to the diabetic team. I suggested infusion of Pamidronate in conjunction with offloading apparatus in the referral letter, only to hear from a family member, a week later, that he underwent below knee amputation as he was sent home after the x-ray and confirmed diagnosis of acute Charcot that day WITHOUT an offloading device, and booked apointments for Pamidronate infusions in 4 days time. He developed septicemia and had an MI…… Five weeks later, I received a letter from the pts insurance company demanding an explanation of why there was a delay from MY diagnosis of Charcot to him receiving APPROPRIATE treatment!!! Fortunately, I had documented everything, so was exhonorated. Yup, despair is one word for it. Doodleally Bel Here's a paper relevant to the above that some might find useful 'Podiatric management of Charcot foot' The effectiveness of podiatric management in the treatment of Charcot footn Systematic review 2005@ Available as a FREE PDF at www.joannabriggs.edu.au/protocols/JBIProt118.pdfEnjoy Cheers Dave Smith
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Post by blinda on Feb 6, 2009 13:09:47 GMT
Nice one Dave
Bel
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