Recent comments have arisen as to why should podiatrists take up independent prescribing when they have done okay in the past. Here are some reflective thoughts from ConsultingFootPain.
A nail that kept growing so far requires a biopsy with the return diagnosis of amelanotic melanoma. Paul discusses how easy it is to be misled by older patients.
The aim of any management in active Freiberg’s is to reduce pain and maintain a functional gait. When treatment is initiated, the hope is to limit early progressive joint destruction. Traditional texts suggest during the early stages of osteochondroses, the blood supply is cut off and then restores. When signs of remodelling and healing appear the residual damage becomes apparent often meaning that intervention is too late.
This uncommon condition seems to have caused confusion for as long as I have been in practice. The principle part of the foot affected is the second metatarsal head, although there are cases seen in the 3rd and rarely in the 4thmetatarsal head. The joint collapses and flattens, often in the superior segment, leaving the inferior part of the joint spared.
Ultrasound in focus within podiatry is the theme this article. All professionals will inevitably extend their ability as part of professional development. This is often known as extending one’s scope or range of skills. Opposition to expansion arises for different reasons. Lack of confidence by a greater majority can impede change. Strong views are held in respect of what is viewed as traditional scope. A need to stick to what we learned at university. There is no doubt that those that offer indemnity cover to practice have their own views as to risk. When it comes to ultrasound there is a storm brewing. It is one that is as old as time.
Sometimes it is the little things. Those observations that resonate with human attraction for the memoir. Classically these are organised into chronological order, but why be conventional? Having written about my early college experience, a friend who I had not seen for years, contacted me. We talked for nearly 2 hours and he shared so many anecdotes I wondered why he had not submitted or written them up.
Podiatric activity occurred in 99 centres, 88% of which provided NHS care. Community-based services accounted for 51.8% of NHS treatment with the remainder provided by either acute Trusts or NHS Choose and book in the independent sector. When comparing HES data between April – November 2020 a similar trend existed. Overall day case admissions were down by 42.5%.
Podiatric surgeon Steve Kriss considers that podiatrists could do more with their medical training and lays down the gauntlet. His premise is that to play an equal role in patient management clinicians must be able to communicate at the same medical level as qualified medical doctors. He describes his own experience here.
Most accounts agree that chiropodists started to consider using injectable local anaesthetics in the post-war period, after 1945. Most, but not all. It still remains, to some extent, shrouded in mystery. Professor Alan Borthwick provides evidence that demonstrate the earliest views which fragmented many in the profession previously known as chiropody.
When a patient only wanted a fix, their care was inadequate. They were demanding and finally a complaint arose. How would you deal with this. Follow a Facebook series query with David and find the solution.