How To Discuss Bunions, Toe Deformities & Surgical Corrections With The Person In Front Of You with Ian Reilly

Many healthcare clinicians can probably identify a bunion or toe deformity, but asked anything more than this by patients and most would get stuck. So how do we explain what they are, why they’ve occurred and what the management options are in a way the patient can understand? How do foot surgeons have conversations around surgical options & expectations and explaining risks? In this episode Ben is joined by Ian Reilly, Consultant Podiatric Surgeon & International Lecturer, where they discuss: (00:00:00) – Introduction (00:00:46) – Dad Jokes (00:02:05) – How Romanian Christmas’s Compare To British (00:03:50) – What Made Ian Choose Podiatry & Podiatric Surgery? (00:07:08) – How To Explain What A Bunion Is To A Patient & Why They Have It (00:13:00) – When Surgery Doesn’t Always Go Well (00:17:38) – How To Discuss The Risks Of Foot Surgery (00:21:28) – Shared Decision Making & Informed Consent In Foot Surgery (00:25:20) – What To Say If They Ask “Will My Bunion Come Back After Surgery?” (00:28:07) – How To Manage Different Surgical Opinions (00:30:50) – What To Say If They Ask “How Can I Prevent This Bunion Coming Back?” (00:33:53) – How To Explain What A Hammer Toe Is To A Patient & Why They Have It (00:35:58) – What To Say If A Toe Deformity Is Asymptomatic? (00:39:12) – How To Discuss The Risks Of Toe Deformity Surgery (00:41:05) – How To Discuss Toe Amputations (00:51:28) – How Surgeon Communication Skills Have Changed Over The Years (00:56:10) – Does Better Surgeon-Patient Rapport Lead To Better Outcomes? (00:58:24) – How To Tell A Patient Surgery Isn’t Appropriate (01:02:31) – Always Find Out What Your Patient Wants (01:03:37) – Ian’s Hardest Conversation (01:12:01) – Ian’s Most Rewarding Surgical Outcomes (01:16:00) – Outro Discussion & Ian’s Courses You can find Ian on Social Media here: X/Twitter: @podsurgery Instagram: @podsurgeon YouTube: @IanReillyPodsurgeon As well as on LinkedIn. His website is: https://podsurgeon.co.uk/ You can find Ben across Social Media @BWhybrowPhysio   More information on Podiatric Surgery Training: https://rcpod.org.uk/podiatric-surgery/become-a-podiatric-surgeon#:~:text=Qualified%20podiatrists%20undertake%20postgraduate%20training,Podiatric%20Surgery%20(MOPS)%20programme “Trick or Treatment” Book Mentioned by Simon Singh & Ezard Ernst. https://www.amazon.co.uk/Trick-Treatment-Alternative-Medicine-Trial/dp/0552157627 Have questions/situations you want help with or stories you would like to share? Send them into [email protected] and it may well get read out and answered.

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