I had a patient I evaluated who was 8 months pregnant with a pubic symphysis issue. Severe pain upon adduction. Could not get comfortable at all. After performing the eval I did not feel comfortable treating this type of injury because I felt did not have the experience doing it. I referred her to a facility that specifically works with women health issues like this. The next day my boss calls asking me why I referred a patient away from our facility when this could have easily been treated. He called it a simple orthopedic issue. I didn't see it that way and did what I felt was best for the patient not his business. I have no problem referring out to a therapist who may have more experience with a specific condition such as this. I do more orthopedic like back , hips, knees and shlds. Was I wrong in doing this?
Posts: 1231
Joined: February 27, 2005
From: Melbourne Victoria
Status: offline
Your boss is right, ask one of your in house colleagues first. Discuss the problem, learn something about it, think outside the square, or in this case, the pelvis.
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