Originally Posted by Johnnys Zoo
Beware of lining up all these pricey tests. You must realize that many of these Docs are SURGEONS. Thats their bread and butter. The more tests, the more likely that a surgery is going to happen. The tests MUST be justified of course! If no instability is found, I would stay with PT. Even if you have surgery, having PT first and afterward while likely generate a better outcome. My left knee is ACL deficient since age 16, I'm going to turn 42 soon. I am biased, I'm a PT. FWIW
Health care is an integrated venture. While PT plays an important role in healing and recovery, to imply that it is the end all, be all, is disingenuous. And to imply that all surgeons are money grubbing mountebanks is also disingenuous. PT and surgery both have their roles in medical management. Neither is necessarily better than the other, and people have been greatly helped by both approaches.
Originally Posted by SkiMangoJazz
I agree that radiologists do a worthless job of diagnosis. I have had two surgeons tell me NOT to have surgery after radiologist reading MRI's said I should.
That being said I did google Dr. Ongley and came up with (among other links) this. http://www.msnbc.msn.com/id/11134499/
I wouldn't chance it, I'd find a good surgeon - they DON'T usually recommend surgery in my experience. They've been in there close up with the ligaments and such, and have seen too many people who don't need surgery once they get in.
Are you a radiologist? Unless the answer is yes, I believe you are giving incorrect information. A radiologist is a specialty trained physican whose training emphasizes the diagnosis aspect of medical care. Very simply, there is no other physician more qualified to read and interpret radiological imaging studies. So to indicated that radiologists do a "worthless job" of diagnosing is completely off-base.
The frustration that you are describing relates to the difference between radiologic interpretation and clinical correlation. A radiologist works in a box, so to speak. He or she only sees the patient's imaging study along with a few lines of history. After a radiologist receives an imaging study, he or she will then do a few things. First and foremost, they will make a diagnosis based on the imaging findings; this is their primary role as physicians and there is no other physician specialty that can do a better job. Then, secondarily, they will offer a management plan; this is not their primary role, however, and they will often acknowledge this by stating that they "recommend" xyz be the management plan.
The surgeon, on the other hand, is a master of treatment and management. Their training primarilly emphasizes the management aspect of healthcare with a secondary emphasis on diagnosis. The fact that a surgeon disagrees with the radiologists management plan is not surprising at all.
I think it's important to note that the same medical condition may have many different clinical presentations. The best approach to medical care is to take advice from the physician with the most training in the given area in which the advice is sought. In the situation above, the radiologist and surgeon are both likely giving the best advice they can. The problem trying to be solved, however, is a clinical problem and in this case, the most appropriate authority is the Surgeon because this is his/her area of expertise.
I can understand the trepidation that many patients have when dealing with physicians, especially given the cost associated with modern day health care. I think it's always good to have some apprehension and skepticism about an individual's motivations. With this said, however, most physicians are not looking to take advantage of people. Sure physicians like to make money, but they are not going to compromise their principles while doing so. We do like to sleep at night. And no i'm not a doctor, but I am a few months short of graduating medical school.