> -----Original Message-----
> From: [log in to unmask] [SMTP:[log in to unmask]]
> Sent: Thursday, November 04, 1999 2:17 AM
> To: [log in to unmask]
> Subject: DISCECTOMY
>
> On 11/3/99, Lyn Gregson<[log in to unmask]> wrote:
>
> <<This particular 'patient' is a good friend, - I have not worked in
> orthopaedics for a long time, so it seemed a good idea just to check out
> with
> the mailbase for any experts with up-to-date in formation.
>
> Love your comments. Let me add to the foray. Am amazed how often students
> ask for and/or describe protocols for post op repair. More so, a singular
> protocol may be used at a given institution in which 5-10 surgeons and/or
> residents perform a TYPICAL repair. Does anyone perceive that: A. All
> tissue is similar; B. That surgeons are on an assembly line cutting
> tissue to the precise microscopic dimension (or when are two acromioplasty
> the same)? and that their level of skill is similar? C. How often do PTs
> read the surgical report to notice the variations in tissue presentations,
> repair, etc.; If you read reports do they all sound the same? A
> dictionary definition of a repair does not come close to explain
> patient/surgical variability. D. How often do we think tissue healing
> before we thing protocol; and lastly when was the last time you were
> asked to offer an educated position as to the qualitative recovery process
> (science + intuition + experience) of a patient's problem. Walking
> distances, weights lifted, ROM measures do not require a protracted and
> costly education. Maybe I am wrong, if so, our current PT problems will
> only worsen. Joe
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