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Establishing a TOS-Focused Practice

  • Karl A. Illig
  • Robert W. Thompson
  • Julie Ann Freischlag
  • Dean M. Donahue
  • Peter I. Edgelow
Chapter

Abstract

Patients with thoracic outlet syndrome, especially neurologic, typically require many more resources than the typical vascular, thoracic, or neurologic patient. As such, a dedicated TOS clinic pays major dividends, in terms of time, resources, and patient and provider satisfaction. Such a clinic should include, at a minimum, a provider, physician extender, and physical or occupational therapist truly interested in the problem, along with logistical support for the documentation and paperwork required. If local resources permit, a neurodiagnostician with interest in modern, objective diagnostic and therapeutic block techniques is valuable, as are a psychologist or even a psychiatrist. Educational materials can be made available to patients ahead of time, streamlining the visit itself. Such a clinic does not need to be free-standing or full-time, but can exist “virtually” within a conventional clinic simply by designating a time when patients and providers can all assemble. Such a clinic vastly improves the care of patients with VTOS, and acts as a surprisingly effective marketing tool in most communities.

Keywords

Educational Material Thoracic Outlet Syndrome Exam Room Physician Extender Provider Satisfaction 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Reference

  1. 1.
    Lee JT, Dua MM, Chandra V, Hernandez-Boussard TM, Illig KA. RR18. Surgery for thoracic outlet syndrome: a nationwide perspective. J Vasc Surg. 2011;53(6):100S–101S.Google Scholar

Copyright information

© Springer-Verlag London 2013

Authors and Affiliations

  • Karl A. Illig
    • 1
  • Robert W. Thompson
    • 2
  • Julie Ann Freischlag
    • 3
  • Dean M. Donahue
    • 4
  • Peter I. Edgelow
    • 5
  1. 1.Department of Surgery, Division of Vascular SurgeryUniversity of South FloridaTampaUSA
  2. 2.Department of Surgery, Section of Vascular Surgery, Center for Thoracic Outlet SyndromeWashington University, Barnes-Jewish HospitalSt. LouisUSA
  3. 3.Department of SurgeryJohns Hopkins Medical InstitutionsBaltimoreUSA
  4. 4.Department of Thoracic SurgeryMassachusetts General HospitalBostonUSA
  5. 5.Graduate Program in Physical TherapyUCSF/SFSUUnion CityUSA

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