3 ms·

I don't understand this behavior. Did you think you added something valuable to the conversation by replying with a special case?

alistairSH 5y ago
You claimed we'd be fine with a mediocre doctor, I was providing a counterpoint - the risk of a botched repair was permanent loss of hand function - why risk that with a mediocre doctor?
- Consultant32452 5y ago
  Expecting every person to couch every statement with the exceptions is bad social behavior. Most fractures are set in the ER or even urgent care, maybe a cast, you are fine. Your "gotcha" response of a relatively rare case of a hand fracture requiring surgery with a specialist is not a meaningful response.
  - deleted 5y ago
    [deleted]
- OrvalWintermute 5y ago
  > the risk of a botched repair was permanent loss of hand function - why risk that with a mediocre doctor? You make an excellent point, and I will point out a related anecdote. A plastic surgeon in my wife's practice fell into a glass table severing a number of nerves and tendons in his dominant wrist & arm. Basically a potential career ending injury. Short of an amputation that is one of the worst injuries for a surgeon. He did not go to any regular hand surgeon, or plastic surgeon that may have done a fellowship in hand. Nope. He got driven to Hopkins where they have one of the best teams in the Mid-Atlantic for complex, nerve involved hand & arm related injuries. A year or so later and he is completely recovered. Some of the other leading honor roll hospitals [1] like Mass General, Cleveland Clinic, Mayo, etc - they have leaders in their field, and collections of gurus needed for really complex injuries where best outcomes are critical. Regular surgeons refer the super hard cases to them, because they are often times the best care possible in the US. [1] https://health.usnews.com/health-care/best-hospitals/articles/best-hospitals-honor-roll-and-overview https://health.usnews.com/health-care/best-hospitals/article...
  - Consultant32452 5y ago
    Do you believe that a normal literate person who reads: >a mediocre doctor can deal with a broken bone interprets that as >there are zero cases of broken bones that are extremely complex requiring highly specialized doctors I'm really curious to know if you believe that is how humans communicate.

alistairSH 5y ago

You claimed we'd be fine with a mediocre doctor, I was providing a counterpoint - the risk of a botched repair was permanent loss of hand function - why risk that with a mediocre doctor?

Consultant32452 5y ago
Expecting every person to couch every statement with the exceptions is bad social behavior. Most fractures are set in the ER or even urgent care, maybe a cast, you are fine. Your "gotcha" response of a relatively rare case of a hand fracture requiring surgery with a specialist is not a meaningful response.
- deleted 5y ago
  [deleted]
OrvalWintermute 5y ago
> the risk of a botched repair was permanent loss of hand function - why risk that with a mediocre doctor? You make an excellent point, and I will point out a related anecdote. A plastic surgeon in my wife's practice fell into a glass table severing a number of nerves and tendons in his dominant wrist & arm. Basically a potential career ending injury. Short of an amputation that is one of the worst injuries for a surgeon. He did not go to any regular hand surgeon, or plastic surgeon that may have done a fellowship in hand. Nope. He got driven to Hopkins where they have one of the best teams in the Mid-Atlantic for complex, nerve involved hand & arm related injuries. A year or so later and he is completely recovered. Some of the other leading honor roll hospitals [1] like Mass General, Cleveland Clinic, Mayo, etc - they have leaders in their field, and collections of gurus needed for really complex injuries where best outcomes are critical. Regular surgeons refer the super hard cases to them, because they are often times the best care possible in the US. [1] https://health.usnews.com/health-care/best-hospitals/articles/best-hospitals-honor-roll-and-overview https://health.usnews.com/health-care/best-hospitals/article...
- Consultant32452 5y ago
  Do you believe that a normal literate person who reads: >a mediocre doctor can deal with a broken bone interprets that as >there are zero cases of broken bones that are extremely complex requiring highly specialized doctors I'm really curious to know if you believe that is how humans communicate.