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Re:wishing this was a dream and it is not

by mellerdpm (no login)

 
Just quit then. Or you could try to improve the situation. I am three weeks out of residency, until one week ago, the podiatrists in my area had only affiliated staff priviledges at the hospital (basically second class citizens as you speak of in your posting). Our surgical priviledges allowed only forefoot procedures. After the most recent bylaws committee meeting we now are on full staff at the hospital with no need for co-admit for 23 hour stay and the only provision is a medical consult is need for extended hospital admissions. Our priviledges include procedures up to the talar dome(bony) and we are allowed soft tissue below the knee. We will also be taking foot and ankle ER trauma call with the orthopods in the area. We will in the next year most likely obtain the credentials that many in our area have the training to perform including frames, IM nails, and ankle and pilon fractures. This initial improvement was about a 6 month process. The podiatrists in the area were able to come together and effectively lobby for a better standing in the medical community. It not the way it should be to have to fight for these things that we are already trained to do, but that is the way it is.
By the way it is not all nails and calluses. About to finish my 3rd week of private practice. I have seen 80 patients, with 57 new patients. Only 7 routine nail patients. Plantar fasciitis, neuromas, ingrown nails, abcesses, tendonitis, tendon ruptures. Billed out over 20,000 in the 1st 3 weeks.
As to your disguise for corns and calluses, maybe if you focused on the conservative and surgical correction for these hyperkeratotic lesions developing, maybe your profession would be more interesting and you most likely
will make more money.
Have you investigated incorporated new methods in your treatment protocols, for instance diagnostic ultrasound and shockwave therapy for plantar fasciitis cases. Will be beneficial to your patients and also pays well.

Posted on Jul 27, 2004, 10:20 PM
from IP address 68.170.168.202

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dreams?DJF on Jul 29, 11:28 AM

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