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Subject: RE: Achilles Tendinois
Author: Bernie Secoura
Date: 11/25/2005 8:50 am PDT
A doctor has NO ethical or professional responsibility to offer forms of treatment which he does not believe to be more efficacious than those which he has determine are effective and prudent. If one were to follow your implication, then a doctor would necessarily have to offer or discuss with patients theories of Eastern medicine, native American medicine, alternative medicine, holistic medicine and that which is promoted on medicine-show infomercials.
I will stack up my ethics, my professionalism and my long-time, busy, hospital-based practice, professionally staffed with real Board Certified podiatric surgeons, against your part-time solo practice, web-site sales and recreational vehicle-based traveling ESWT show any day.
Folks come to us for OUR evaluation of their problems and OUR determination of techniques based on OUR expertise in solving them. The patient's duty is in the proper selection of a professional in whom he/she can place his trust. My patient care decisions are not up for vote by patients who might attempt to sift through professional literature which they cannot understand or appreciate, and the Internet is really no place to receive that education.
When I take a case, I assume the responsibly for that patient's care, and though the patient may decide not to take my advice, he/she can go elsewhere rather than my compromising my best judgment for what is appropriate in their care. Though I do offer choices when appropriate, I do not offer a smörgåsbord of possible techniques simply because they exist. I am into results, not simply fees or numbers, and that has served my practice quite well for 3 decades. I do not intend to, nor should I fix that which is not broken.
It is wisely said that one should neither be the first nor the last to employ a new technology, and frankly, Dr. Zuckerman, you have not demonstrated to me that you or your treatment decisions are the ones to emulate.
If the literature shows that a procedure is effective and safer then a surgical procedure and you decide to only offer procedure that insurance covers then you are in violation of ethics. Go take a look at the AMA code of Ethics By the way due to MY HARD work alot of Insurance companies cover ESWT for plantar fasciosis.
So we are going to go back and forth and back and forth. By the way I have seen you leadership ability on this site. I would never have allowed what you call a cirus on this site go forward. All you have to do was to exhibit a very simple human trait. Answer the poster that had his money stolen and received no book. Even if you didn't know the poster or know the site adminstrator, all you have to do was tell the poster that you are sorry for his problem and that you don't have any contact information . Sure weeks later you did this, but never with the poster. Never when I asked you . others asked you etc Your charactor was shown To say that I am not involved when you post over 1000 posters for one year shows me who you really are . Self centered and if the ship is sinking leaves with the woman |
