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Bit of Advice needed pls

Discussion in 'Ask your questions here' started by Teesey, Dec 20, 2017.

  1. Teesey

    Teesey New Member


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    Hi Ladies/Gentlemen
    I would like a bit of advice please. I am a newly qualified FHP and started my domicillary business in Aug this yr. I have a steady stream of pts already due to my advertising in my local magazine, leaflets, WOM etc. Anyways I went to see an elderly couple yesterday who are early 90s who have been seeing a domicillary podiatrist reguarly every 6 weeks for years until recently when he has not turned up and not called to apologise so they called me to visit. I turned up and found that the lady had onychomycosis on all digits and looks like has been apparent for years!. I asked what the previous gentlemnan had been doing she and her husband stated that they had just been cut and thickened nails drilled down???. They states that the condition hadnt been mentioned to them before. I know that I can now start them on some trt but I am confused that someone who really is more qualified than myself would leave someone with nails like this. Should I report?
    Any ideas
     
  2. Craig Payne

    Craig Payne Super Moderator

    If this is outside of your training and competence, then refer it to someone who can do it.
     
  3. poddoc

    poddoc Guest

    What exactly would you report? Patient has thick toenails? What is the problem? Are the nails doing damage to neighboring toes?
    Treatment of Onycyhomycosis is often unsuccessful. Conservative treatments are less than 30% effective. Oral medications are around 50% effective. Oral medications can be toxic to the liver. The cure could be worse than the disease.
     
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