best facility?

Joan Cestaro

Description

Title:

best facility?

Creator:

Joan Cestaro

Date:

2/13/2002

Text:

Dear members,

I have an interesting dilemma that I am posting for another Prosthetist
in our facility. We have a BK amputee who has been to several
facilities in several surrounding states. He has now returned to us
after 6 or 7 failed attempts elsewhere. Our last attempt with this
gentleman entailed over 30 appointments with an unsuccessful ending like
all the others. We've all seen this type of problem child. He has no
life and dwells continuously on his prosthesis. No redness, but it just
doesn't feel right. He goes from facility to facility, Prosthetist to
Prosthetist, and design to design. The end results are always the same
and the prostheses are comparable in end result. Well, our problem
child is baaaaaaaack. As we all know, there are many psychological
factors at play. As those of you who have dealt with this type know,
recommendations for psychological counseling are not greeted with open
arms.

Onto my question: Are there specific facilities or institutions within
our field that are considered the best? And I do not mean those that
have the best Prosthetists, necessarily, but those that have the
ambiance and reputation within our field. The old Sabolich facility
used to be one of these. I don't think they were any BETTER than us,
but they indeed had the reputation. Patients FELT they were receiving
the best based on this reputation. Their facility was ultra high tech
in appearance (psychological). My question is where would you refer
this type of patient? Would a teaching institution such as Northwestern
(RIC) be the best solution? Or a well known name such as Duke? I am
playing more on the psychological aspects of this problem child.

Surgeons, for example, have the best of the best in their respective
fields. Certain spinal surgeries or major organ transplants have well
known surgeons and institutions that are the most experienced and well
known throughout the world with their reputations. Do we have any of
those in prosthetics?

Please do not respond unless you identify yourself with first and last
name and your credentials and/or occupation (therapist, patient/client,
physician, etc). Thank you in advance.

Joan K. Cestaro, C.P.
Rehabilitation Practitioners, Inc.
Winchester, Virginia

                          

Citation

Joan Cestaro, “best facility?,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/218019.