Saturday, May 21, 2022

Re: Patient or client?Professional or mechanic?


To me James, you’ll always be a ‘patient’. When I say ‘patient’, please

hear ‘client’. Richard Ziegeler P&O / O.T.

[email protected]


> From: James R. Graham

> To: [email protected]

> Subject: Re: Patient or client?Professional or mechanic?

> Date: Thursday, 22 October 1998 10:22


> I understand your points.


> However, the idea that making you a “professional” makes me, an amputee a

> “patient” is

> certainly NOT a logical nor valid assumption. I am a client. This does


> imply any

> negative connotation for the prosthetist. It’s a simple, physical fact.

> Whether a prosthetist is

> a “tradesman” or “health care professional” is not relevant in


> my status as “patient”

> or “client”. Although I CHOOSE to be a “client” rather than “patient”,


> is also a physiological

> sound choice. I’m not sick. I’m not ill. I’m not under a physician’s

> care. I only see a physician

> in order to validate payment to a prosthetist by my insurance company.

> This, I think, is

> a significant distinction.


> It does appear ironic that prosthetists are getting a bit defensive about

> titles since amputees

> have been getting defensive about their own status for quite some time.


> I don’t care what a prosthetist chooses to be called, or what they refuse


> be called.


> The bottom line is this….


> I’m not a “patient”. I’m a “client”.

> Why? Because I’m not ill and I do not require a physicians care. I have


> “stump” (rbk). I’m

> not a diabetic, don’t have heart disease, and there are no lesions. The

> simple fact (and

> irrefutable) is that I’m a completely healthy 42 year old male who just

> happens to wear a

> really large shoe on an otherwise really short leg. That does not, by


> stretch of logic

> or imagination make me a “patient”.


> I’m a client, and you’re a professional. End of story….


> Cheers,

> James R. Graham

> —

> —–Original Message—–

> From: Joe Elliott

> To: [email protected]

> Date: Thursday, October 22, 1998 11:07 AM

> Subject: Re: Patient or client?Professional or mechanic?



> >To all my colleagues:

> >I am a Certified Prosthetist, a health care professional credentialed by


> national health care accreditation organization (ABC) and proud of it. My

> credentials result from the possession of a baccalaureate degree and a

> certificate of education in prosthetics from Northwestern University

> Prosthetic and Orthotic Center. I am pleased to have enjoyed the


> of other health care professionals for 17 1/2 years I have practiced my


> >

> >I am further pleased that Texas, my state of residence, has take a


> step by adopting a comprehensive licensure act for orthotists and

> prosthetists. I am further pleased that a board consisting of ABC

> practitioners, BOC practitioners and consumers has worked diligently and

> produced a fair and practical document delineating the rules and


> for implementing the act as adopted by the Texas legislature.

> >

> >I am not, nor have I ever been, a mechanic or tradesman. I have been a

> Professional throughout my career, and the fact that I am now to be


> by the State of Texas will not change the manner in which I treat the

> patients referred to me for care. The license will, however, provide me


> additional recognition, both for patients and payers.

> >

> >I agree, Mr. Barr, this is a positive direction being taken by state

> organizations, and I encourage more state organizations to work to enact

> licensure.

> >

> >Joseph C. Elliott, CP

> >

> >Tony Barr wrote:

> >

> >> I believe Florida O&P consumers can now be described as patients


> (Florida) practitionors are now required to have a state license to

> practise their profession(previously a trade.)This recent transition


> 1998) in the state of Florida, of mandatory licensure, and minimumal

> educational standards , raises the status of the O&P practitionor to the

> level of a professional from a tradesman / mechanic identity.

> >>

> >> The prior (optional) certification process did not necessarrily

> quarantee qualification of the practitionor.With the requirement of a


> license to practise the profession, goes the recognition, responsibility


> accountablity of being a health care professional.

> >>

> >> Perhaps,once the “industry” in other states recognizes the importance


> establishing mandatory credentials thru licensure , health care insurance

> providers will revisit and review insurance coverages for O&P


> beneficiaries of regulation become the patient and the professional.The

> recent expansion of O&P coverage to adults by Florida Medicaid was a


> result of upgrading ,thru regulation ,the image and qualifications of


> industry(now a profession in Florida!).

> >>

> >> Perhaps one might ask,”What other occupation deserves the recognition


> a profession when no license or certification is required to practice


> trade?Espicially when that occupation is health care related “?

> >>

> >> Congratulations Florida O&P PROFESSIONALS!!!

> >> You are leading the way to the transition of a higher standard from


> “industry” to a “profession” and your identity as a health care

> professional!

> >>

> >> Anthony T. Barr

> >> The Barr Foundation

> >>

> >>

> >> > In response to the recent posting regarding referrring to amputees


> >> > “patients” instead of “clients”.

> >> >

> >> > I have to respectively disagree with the authors assertion that a

> >> > Prosthetist is no more than a tradesman, or mechanic, who is hired


> fill

> >> > an order for a part or supply. I believe that there is a very

> important

> >> > distinction between care giver and mechanic.

> >> >

> >> > Perhaps it is because I work in a hospital setting, but I do not

> believe any

> >> > of the patients that I provide care for, see out relationship as one

> where

> >> > a customer is hiring a mechanic to build them something. Of course

> there

> >> > is a part of what we do that is technical and requires


> >> > However, I think that it is degrading to the entire Prosthetic

> profession to

> >> > look at what we do as the same as a mechanic.

> >> >

> >> > Without getting to longwinded here, I will pose a couple of


> >> > myself.

> >> > Is the patient / Physical Therapist relationship any different? They

> are

> >> > hired to provide a service. They are paid to do so.

> >> > Is the patient / Surgeon relationship any different? They are hired


> >> > work on the body and are also paid to do so.

> >> >

> >> > I do not believe that prosthetists are intentionally trying to


> >> > amputees by referring to them as patients, but when we are called in


> >> > part of the rehabilitation team to assist with getting a person back


> their

> >> > feet, or back to work, they see it as a patient / care giver

> relationship.

> >> > Thanks for letting me vent a little.

> >> > Steve Fletcher, CPO

> >> > Shands Hospital at the University of Florida

> >> >

> >


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