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  • Physician's Assistant (Cofer) saw our child for a right arm garage fall injury, set the surgery 8 days from injury & determined that closed surgery was needed. Cofer also splinted our son's arm, but emergency re-splinting was needed within 1 day. It seems as though physician assistants are making decisions that used to be made by surgeons & patients may get pushed through an over-loaded system. Despite surgery with optimistic Dr. Clark, months of physical therapy & a consult with specialist Dr. Gaston, our son now types primarily with his pinky on his right hand, because his elbow doesn't turn properly. He can't put his palm down. (Imagine you have a permanent handshake-like elbow angle.) This impacts activities like playing basketball or how one would get change from a cashier's hand. OrthoCarolina recommended additional surgery, but we learned through consultations with experienced surgeons at top medical schools & hospitals that Orthocarolina failed to identify a serious post-surgical problem with bone in the wrong spot (synostosis). This bone formation makes additional surgery too risky. Sometimes it is best to accept a poor surgical outcome.------ There is an illuminating healthcare industry movie called DISCLOSURE, only available via SorryWorks! Facebook site, which explains poor medical outcomes. Other ideas for handling problems. #1) consider calling a NC teaching hospital for a "specialist." (In-state, UNC was quite helpful. Out-of-state, Children's Hospital of Philadelphia agreeably did their consultation via telephone. " #2) Consider private physical therapists (Standouts are St. George Physical Therapy & Matthews Physical Therapy) #3) Medical record errors occur, so immediately purchase & read all records. When you get copies of xrays, make sure views are individually listed on the disc. If you went to an urgent care facility 1st, you may need to get records there also. #4) Don't delay if you suspect problems. If needed, Facebook's ProPublica Patient Safety Group has members who offer advice & has a "SurgeonScorecard" form for reporting errors. Novant Matthew's Medical Library assists with medical research. Good luck & let's post our OrthoCarolina experiences & help others!
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