How’d we miss this Reddit drama?

Started by Hybrocure
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Hybrocure

Head Warden of Nail Jail
2+ Year Member
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Or an anesthesiologist?!?!?!

I personally spend very little time worrying about ankle fractures. My main concern is that too many podiatrists have questionable bunion outcomes because they think an Austin is the answer to everything. Nail meets hammer.
Answer to the thing you quoted is patient selection tbh. New pod grads are happy to cut on bad patients to make their numbers. Diabetics and PADs land in the average podiatrists lap seeking elective surgery and the usual ortho patient is relatively healthy.

I don’t operate electively unless they’re optimized, but a ton of people will do it without A1C control or good vasc studies
 
View attachment 413497

Or an anesthesiologist?!?!?!

I personally spend very little time worrying about ankle fractures. My main concern is that too many podiatrists have questionable bunion outcomes because they think an Austin is the answer to everything. Nail meets hammer.
How would an anesthesiologist know anything about outcomes? Just based on what comes into the OR? That’s a clear observation bias. More pods than F&A ortho -> more foot surgeries done by pods -> more complications from pods. I’m tired of people using dip**** logic.
 
Found the link

Yeah, that’s old. Looks like outside of a couple orthos it’s mostly pro-pod. The orthos get roasted a little too.

Should be water off a duck’s back. You’ve actually done a surgical residency. I have to fight the battle with optometrists who’ve more or less taken a weekend course from someone who took a weekend course themself to then cut on eyelids and shoot lasers in people’s eyes.
 
As long as our training is highly variable (uniform 3yrs in length only), we'll have these issues. Some of us do a lot of surgery in residency, many don't... some in academic hospitals, some not... some residencies pass Abfas nearly 100%, some don't.

Podiatry expanded real fast, didn't have the training spots to support it... now fellowships take cases out of residencies. This is the natural outcome: even podiatrists don't agree on what DPMs can uniformly do (since training and competence are not uniform).

As long as ppl stay in their lane,do good work, pass boards appropriate to what they do, we'll have few problems with patient outcomes.

I have seen plenty of bad surgical outcomes by podiatrists... but the truly terrible outcomes have been medical ("clearing" asa3 for surgery, admitting sick ppl, messing up meds, trying to treat skin/bone cancers, tryingto treat DVT, etc... basically not asking for help when they should).
 
View attachment 413497

Or an anesthesiologist?!?!?!

I personally spend very little time worrying about ankle fractures. My main concern is that too many podiatrists have questionable bunion outcomes because they think an Austin is the answer to everything. Nail meets hammer.
That was posted by a 2nd year pod student.
Look through their post history.

Taking it with a grain of salt.