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TOPIC: Ross the Quack

diesel Ross the Quack 7 years 9 months ago #15

diesel
Prince, obviously you have never called a cab at 9 am to go from Freo to subi. The driver gave him two choices. Either the Perth airport or Phoenix park shopping centre, Nat checked for surgeons I the Spearwood sand hami hill area with no luck so he went to the airport and flew out to Melbourne.
I know what your thinking, what about uber. Well the club don't recognise uber as a genuine business and will not reimburse uber receipts.
I thought Nat did well to think on his feet. With a broken leg
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The Prince, jimb2 said You Beaut

jimb2 Ross the Quack 7 years 9 months ago #16

jimb2
There's actually a massively different requirement between fixing a broken leg for us mortals and fixing break in the leg of an elite sportsman. (Or in Fyfe's case, elite elite sportsman.) For most of us, recovery to 95% of maximum theoretical function is actually 100% recovery in practice. We might play sport and run around a bit, but we don't push ourselves that hard. For Fyfe, that would potentially wreck his career.

Given his value to the club, and to himself, you wouldn't mess around with risks.
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shane Ross the Quack 7 years 9 months ago #17

shane
I"m not sure why you'd blindly attribute competence to the fitness and recovery department of a club who are struggling to find enough fit players to field a team - unless you were on the Fremantle board and wanted to get home to watch the end of The Bachelor.
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The Prince, The_Yeti, Bizkit, Corporal Agarn, Burton said You Beaut

The Prince Ross the Quack 7 years 9 months ago #18

The Prince
reply: Morgan - someone has implied that you are a lawyer; if so, your indulgence of straw man arguments makes more sense!

There's a story on the surgeon here: Clicky

Seems like he's pretty well regarded. Prince, I haven't met you, but on the credibility stakes, he's probably got an anonymous poster covered at this point.
reply: the story on him is irrelevant to my argument. I know a guy who changes a tyre amazingly well, there is even an article on him, but really...

There are a few assumptions and assumptions presented as facts in your post Prince, for example:

i. That the surgery is routine.
reply: its a plate on a fracture, yes its routine. I needn't elaborate.

ii. That MRSA infections are common (the rate of infection was 0.35 cases per 10,000 bed days of patient care under surveillance at Epworth Richmond where the surgeon operates).
Reply: what authority are you relying on to make this claim? Why are all patients admitted to W.A hospitals asked if they have been admitted to a Vic hospital in the prior 2 years if not for MRSA? (rhetorical)

iii. That the benefits of seeing a well-regarded specialist who is across Fyfe's previous history (having performed the previous surgery) doesn't outweigh that very small risk.
reply: two wrongs don't make a right. Try not to send your Ferrari to Melbourne twice.

iv. That none of those risks were mitigated.
reply: mitigation does not equal negation, especially not simple negation. Therefore likely still inappropriate management.

v. That Roly is actually making the decision.
reply: that's where the "dockerlanders will have to accept" bit comes in...you need to suspend your disbelief if you want to read on.

vi. That Roly is making that decision based on being under the influence of this surgeon.
reply: see above.

vii. That Fyfe's management are so inept that they let their cash cow have a career-affecting surgery done in a manner that no Doctor in their right mind would recommend.
reply: well, on that point I'll concede to some hyperbole. I am sure there are millions of doctors in the world who would. I doubt there is a good doctor in their right mind who would.

viii. That Freo's Doctors wouldn't be in touch with the surgeon.
reply: straw man. I didn't say that.

I know you'd prefer us to accept 'you have some authority' on this, but you've basically made some pretty serious allegations of negligence against Freo's coach, medical staff, a well-respected surgeon, and Fyfe's management. Hackdorn worthy in fact.
reply: Look in the mirror
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The Prince Ross the Quack 7 years 9 months ago #19

The Prince
hi jim - you're arguing a different matter. When us commoners fracture your leg, its quite possible we won't get to see the gun surgeons in Perth. Just how it is.

Why not send him to the Mayo Clinic in the U.S to have his fracture fixed? It's not significantly more expensive. There has to be someone even more amazing at changing a tyre over there, right?!
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RideoftheVagaries Ross the Quack 7 years 9 months ago #20

RideoftheVagaries
Sorry Prince, but I'm not sure you present the strongest logic. The first thing that struck me about your post is that you're seriously asking us to believe there's a significant difference in health risks between hospital systems from state to state here? Sure they may ask a question on an intake form, but I'm betting it's covering it off more than a particularly significant concern. You're overstacking the consequences between the choices. I would say the difference is minor and maybe something akin to deciding between a public (or more likely a posh private) school and a really posh private school for your kid. Whether you get the exact result for the added money you spend may be questionable, but it's not an overly dangerous decision...and it's your decision. Whatever Lyon's involvement, if it was a dangerously inflexible one, it'd be incumbent on the medical staff to get involved, even if they felt constrained, it's not like Fyfe is getting sent to a voodoo practitioner.
;p
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Raglan Matt said You Beaut

The Prince Ross the Quack 7 years 9 months ago #21

The Prince
Hi RV,
I take your points.
My arguments about travel risk post surgery and infection risk are relatively trivial, I agree. I should have stuck to my main argument that the trip was entirely unnecessary. Its always better to go local with your healthcare if you live in a big first world city with world class healthcare, as we do, imo. When things go wrong it makes communication between docs and other staff easier, in my experience (which granted is unknown to the reader). But I think I made a common sense point.
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blockerhall Ross the Quack 7 years 9 months ago #22

blockerhall
I have pulled up the popcorn, have some reservations about the content of the original post, but feel there are elements of concern here. This statement is the guts of it "...the coach, who is not qualified to involve himself in the treatment of player's injuries, directs their medical management when it suits him..." (my emphasis).

Under the assumption that Lyon does in fact sometimes direct players' medical management, on what basis is it purported that he selects whom to become involved with, and why?
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Tragic Ross the Quack 7 years 9 months ago #23

Tragic
Couple of things
Doing an open reduction and internal fixation to a healing fracture that already has had a plate applied to it, is not nearly as easy as doing an open reduction and internal fixation to a new fracture. The fractured bone is not straight and the new plate will not bolt straight on. The holes left behind from removing the hold screws are all new points of weakness that have to be considered when bending and fitting a new plate.
Typically, surgeons would like to manage their own complications. Unless there is a view that the original surgeon is not competent (and I have never heard that accusation made of Julian Feller), it makes sense to go back to the original surgeon.
I think there was an argument for the original fracture to be managed in Perth. The decision having being made to manage that fracture in Melbourne does, I think, mean that the complication too, should be managed in Melbourne.
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Morgan, Drubbing said You Beaut

diesel Ross the Quack 7 years 9 months ago #24

diesel
By the sounds of it, Prince sounds like he actually has some sort of degree from UNI, So he had me at hello
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FDB Ross the Quack 7 years 9 months ago #25

FDB
"But I think I made a common sense point."

Shop local?

That's the thing about soi-disant dispensers of "common sense". They're all too common, and all too commonly make no sense.
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The_Yeti Ross the Quack 7 years 9 months ago #26

The_Yeti
Well Prince,

as one who frequently disagrees with much of what Morgan posts, I find that I cannot disagree with his statements in this thread. He makes solid points where it seems you try to avoid giving any solid evidence to back up your allegations.

In fact you ask us to suspend our disbelief when it comes your allegation that Roly is directing traffic to the Melbourne surgeon yet I've not seen one bit of evidence to suggest that is the case. Personally I won't suspend my belief in the complete absence of evidence and invective isn't evidence.

Trust me, I do know the difference and I do what evidence is.Unless you can actually show evidence that Roly has directed players and Fyfe in particular away from Perth surgeons in favour of a Melbourne based surgeon and this surgeon has some kind of baleful influence over Roly then I'm afraid the central point of your original post fails rather badly.

Unsubstantiated allegations are great over your 8 or 9th pint but don't really hold up to scrutiny once you sober up.
Egurls Suck!
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Drubbing Ross the Quack 7 years 9 months ago #27

Drubbing
We have a saying in the pathology business. If you want to consistent results, go to the same lab for them, and not wherever happens to be convenient at the time.

Sure, Nat could have got his issue fixed locally. But it makes more sense to go back to the bloke that did the first fix. He knows what he did, what issues he had, and what might be the best for the patient. He's in prime position to make the best call on what should done, and how.

Doctor shopping is for WC players, who need to hide what they're shopping for.
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hypen Ross the Quack 7 years 9 months ago #28

hypen
Drubbing, as an aside are you seriously telling me my blood test results can vary from one pathologist to another?

I am a hypochondriac, I wish I never read that post.
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