Monday, June 21, 2010
IATROGENIC FEMORAL ARTERY INJURY LEADING TO LIMB LOSS:WHEN WILL WE GROW UP?
IATROGENIC(PROCEDURE RELATED) PSEUDOANEURYSM OF THE RIGHT FEMORAL ARTERY IN THE THIGH THAT WENT UNDIAGNOSED FOR A MONTH AFTER BONE FIXATION(BY AN ORTOPEADICIAN IN A PRIMIER INSTITUTE) LEADING TO FOOT DROP AND FINALLY AN AMPUTATION OF THE RIGHT LIMB.WHEN WILL WE GROW UP AS DOCTORS/SURGEONS?ITS TIME WE ACCEPT VASCULAR SURGERY AS AN INDEPENDENT SPECIALITY AND NOT INDULGE IN UNFAIR PRACTICES.HOW LONG DOES IT TAKE TO FEEL FOR THE LOWER LIMB PULSES?ITS A MESSAGE TO ALL MY COLLEAGUES FROM DIFFERENT MEDICAL/SURGICAL SPECIALITIES TO KINDLY ASSESS THE LOWER LIMBS FOR PULSES WHEN EXAMINING A PATIENT ESP.TRAUMA PRE AND POST PROCEDURE.PLEASE RECOLLECT THE BASIC THINGS YOU WERE TAUGHT AS SURGICAL TRAINEES.NOTHING CAN REPLACE A THOROUGH PHYSICAL EXAMINATION.THIS YOUNG MAN WHO IS JUST IN HIS TEENS(15 YEARS OLD)FOR NO FAULT OF HIS LOST HIS LIMB AND IS HANDICAPPED FOR LIFE.WHAT WRONG DID HE DO?GOING TO THE WRONG DOCTOR?BUT HOW DOES HE KNOW WHO IS RIGHT AND WHO IS WRONG?ITS TIME FOR ALL OF US TO DO SOUL SEARCHING RATHER THAN GOING IN FOR WITCH HUNTING.LETS PLEDGE WE ALL GO BACK AGAIN TO THE BASICS WE WERE TAUGHT IN OUR MEDICAL SCHOOLS AND PRACTICE THEM. PLEASE GIVE THE CONCERNED SPECIALITIES THEIR DUE AND REALIZE YOUR LIMITATIONS AS A PERSON AND AS AN ATTENDING PHYSICIAN.THINK OF THE SOCIETY AS A WHOLE AND NOT JUST YOURSELF.
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