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Status Quo?

Cohen, Bruce MD

Techniques in Foot & Ankle Surgery: June 2011 - Volume 10 - Issue 2 - p 47
doi: 10.1097/BTF.0b013e31821d69cc

As we enter into a very different time for health care, we tend to get very discouraged with thoughts for the future. The daily news, websites, and social media point to changes in health care at the top of every politician's agenda. Many of these changes include limiting some of our choices in treatment and of course many layers of bureaucratic changes, all of which will further frustrate us as we try to take care of people.

Our natural tendency is to throw our hands up in the air and proclaim that we just need to give up and retire early or find another career. I cannot speak for all of the readers, but early retirement is not an option for me and I still enjoy taking care of people.

What we need to do is keep on fighting for appropriate levels of care for our patients. We need to participate in good evidence-based studies that demonstrate effectiveness of certain treatments. We need to continue to be innovative but do it differently. We used to try new procedures and see if they worked before we started looking at the results analytically. Now, we need to look analytically before during and after we begin these new procedures. It is important for us not to give up but fight against the status quo and continue to push for innovations and treatments that will benefit our patients.

We have the pleasure of having Dr Lowell Weill Jr, from the Weil Foot and Ankle Institute, as our guest editor for a section devoted to innovations in the treatment of heel pain, which I am sure, is prevalent in all of our reader's practices. We also have 3 new techniques for treatment of calcaneal fractures, hallux metatarsophalangeal fusions and talus osteochondral lesions.

Bruce Cohen, MD

© 2011 Lippincott Williams & Wilkins, Inc.