The reasoning behind Soft tissue till HIP in some states?

[cool_vkb]

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Can any residents or senior students explain me what is the practical or daily application of the "Soft Tissue till HIP" scope in some states like florida or georgia?

I know it gives ease in skin grafting during surgery. is that all there is or there are other usefull benefits with the scope.

We are taking peripheral vascular diseases and iam in love with the subject. can this be used in treating vascular stuff or in ulcer treatments?

Lets say, if there is a patient with Secondary Lymphadema below the knee and requires removal of Popliteal lymph node. Is this something that well trained Pods in states that have "soft tissue upto Hip in their scope" can operate or this is strictly vascular referral.

 

[Feli]

To my knowledge, that part of the scope is mostly just for skin grafting to cover wounds (surgical, traumatic, diabetic, etc).

 

[jonwill]

To my knowledge, that part of the scope is mostly just for skin grafting to cover wounds (surgical, traumatic, diabetic, etc).

Yea, it is pretty much for skin grafts as well as possibly things like cellulitis that begin in the foot. Although I'd be a bit concerned if my patient had cellulitis up to the thigh! 🙂

 

[SportPOD]

Yea, it is pretty much for skin grafts as well as possibly things like cellulitis that begin in the foot. Although I'd be a bit concerned if my patient had cellulitis up to the thigh! 🙂

Glad to see that the residency training is paying off.

 

[krabmas]

Can any residents or senior students explain me what is the practical or daily application of the "Soft Tissue till HIP" scope in some states like florida or georgia?

I know it gives ease in skin grafting during surgery. is that all there is or there are other usefull benefits with the scope.

We are taking peripheral vascular diseases and iam in love with the subject. can this be used in treating vascular stuff or in ulcer treatments?

Lets say, if there is a patient with Secondary Lymphadema below the knee and requires removal of Popliteal lymph node. Is this something that well trained Pods in states that have "soft tissue upto Hip in their scope" can operate or this is strictly vascular referral.

Cool,

do you secretly want to be a vascular surgeon?

As a pod you will most likely never do endo vascular work or bypasses except in residency.

I think vascular is awesome as well, but I would not want their lifestyle.

 

[cool_vkb]

Cool,

do you secretly want to be a vascular surgeon?

As a pod you will most likely never do endo vascular work or bypasses except in residency.

I think vascular is awesome as well, but I would not want their lifestyle.

lol subconciously i guess. we are taking the course and at the same time during the 2nd yr clinicals every day we are getting patients with blue toe syndrome, AOS, gangrene, lymphadema, varicose veins,etc. Its making me very interested towards vascular stuff. but iam sure once we start rotating in orthopedic clinics. i guess my attention will turn to ortho 🙂 or may be woundcare,etc etc.

iam not exagerating but its like you read this chapter in evening for lecture and next morning in clinic you see the patient with those problems.

I was reading limb length discrepancy in biomechanics in morning and to my luck we got a patient with limb lenght discrepancy complaining of low back pain, pronated foot,etc etc. it was like, he just came out of the book 🙂 . i love 2nd yr. the courses are sooo awesome.

 

[Feli]

...iam not exagerating but its like you read this chapter in evening for lecture and next morning in clinic you see the patient with those problems.

I was reading limb length discrepancy in biomechanics in morning and to my luck we got a patient with limb lenght discrepancy complaining of low back pain, pronated foot,etc etc. it was like, he just came out of the book 🙂 . i love 2nd yr. the courses are sooo awesome.

Congrats, keep up the good interest and hard work...
It's not that you weren't seeing that stuff before, it's just that you didn't know what to look for until now.

"You see what you know." -Lawrence Harkless

...if all a pod knows is plantar fasciitis, pronation, and bunions... then nearly every one of his patients will have one/all of those. If all he knows in terms of treaments is orthotics and Austin... well, you guessed it 😉

If he knows a lot about PTTD, Baxter's entrapment, claudication, bone cysts, stress fx, etc etc etc, then the problems become a bit more complicated and you get better diagnosis/treatments. Surgically, if he has more experience and better training/knowledge, there are a lot more treatment options, each with its indications, to offer patients who fail good conservative care. 👍

 

[Foot Doc]

Congrats, keep up the good interest and hard work...
It's not that you weren't seeing that stuff before, it's just that you didn't know what to look for until now.

"You see what you know." -Lawrence Harkless

...if all a pod knows is plantar fasciitis, pronation, and bunions... then nearly every one of his patients will have one/all of those. If all he knows in terms of treaments is orthotics and Austin... well, you guessed it 😉

If he knows a lot about PTTD, Baxter's entrapment, claudication, bone cysts, stress fx, etc etc etc, then the problems become a bit more complicated and you get better diagnosis/treatments. Surgically, if he has more experience and better training/knowledge, there are a lot more treatment options, each with its indications, to offer patients who fail good conservative care. 👍

definitely agree......I think some guys back in Miami were using the soft tissue to hip to allow them to do knee injections and vein ligation; myself, I would love to be able to use it just for skin grafts but I wouldn't venture into other specialties' territory (remember these guys are part of your referral base)