Looks like I was the last person to post, so coming up with a comment for someone else isn't going to be to easy. Let me guess... you're all on your SDP right? Anyway, I have to post so here we go.
Things are going pretty well here in Tom Price. One of my patients is a boy who is 8 weeks post ORIF for a midshaft femoral #. I don't know what physio attention he was getting in the last 8 weeks, but the main issue with him now is that he only has 40 degrees knee flexion. Today's problem is not about that though. He presented with a note from the surgeon that roughly outlined the timeline for changes in his WB status. Reading the note, I ascertained that the patient was in the timeframe that the surgeon had outlined for him to begin T(touch)WB. Additionally, his Xray was looking good. So I prepared to commence gait re-education with TWB as part of my treatment. My supervisor wasn't keen for me to do this because we hadn't recieved any protocol from the surgeon, and the note that we had didn't explicitly give the all clear for TWB. My issue isn't with my supervisor, who is great. Nor is my issue that I spent alot of time on the phone with several doctors trying to get a verdict (although that was a pain in the rear end). My question is when is a referral a referral?
Waiting for the go ahead was pretty stressful for this patient's parents, who feel like they've been kept in the dark. Also, we had to wait nearly a week before any information was forthcoming, which is a long time to keep a major part of someones treatment on hold. Have any of you had the same experience? Do any of you know exactly what is required in terms of communication from Drs when changing WB status (in terms of communication). It's potentially a pitfall....
On the upside, the neural tension guy from last week is on the improve, and I've learnt a whole new bunch of freaky mulligans techniques too...
M
Saturday, October 6, 2007
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