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> -----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 %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%