Your thoughts on the new attack from AAOS?

[Feli]

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The more I practice, the less I want to deal with postop pain and problems that come along with elective and trauma surgery. At least with diabetics they often have no pain for better or worse.

I am absolutely the opposite... I want people who will largely follow directions, understand the plan, be on board, be pretty healthy for healing, have an active life / job that they are motivated to go back to.

Unwrapping dehiscence on TMAs, fixation constructs walked through or Charcot adjacent, seeing people fail to use offload devices, re-ulcer after re-ulcer due to non-compliance with getting or using Rx shoes/filler/crow/etc, surgery fails due to bmi / nutrition / weight / smoking, gangrene from lack of perfusion is not my cup of tea. It's sad and depressing imo. I think there is good reason ortho avoids that stuff as best they possibly can.

It's the same with high bmi people or smokers or drug users... no thanks. They can be some other surgeon/hospital's problem. I want basically zero of such for elective... and very few for trauma surgery also. 🙂