specialists really needed

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  From my cynical side: If the purpose is a return to productive society
most of the patients I have seen would benefit more form a alcohol or drug
rehab specialist than a hand specialist. Reality just crushes the life out
of my idealism. But i guess it is heavily dependant on patient populations.
   
  Mike

Mike,

As your resident touchy feely Left winger I don't think that thought is
cynical at all. It's important to recognize and try to address the needs of
the population you serve. It's especially important for us to do what we
reasonably can to try to lessen the likelihood of future injury for our
patients. Universal screening coupled with an immediate
evaluation/intervention and seamless transfer to outpatient rehab (not
waiting 6-8 weeks) has been advocated. Carl Soderstrom at Maryland is
probably foremost in the trauma field re: substance abuse issues. There is
actually sometimes money to help with programs like this.

Rob Smith

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