Thank you for this comprehensive and generous review. I often counsel families before an operation for a traumatic injury that I will have a series of treatment options which are progressively more invasive. My aim is to use the most minimal and least invasive surgical treatment to guarantee the optimal outcome. If I can get away with doing less for a particular fracture and just apply a good cast alone rather than plates or screws then I will choose the lesser option. But only if it does not risk compromising the final outcome. A good surgeon should have all techniques at his disposal but be able to select the least invasive treatment method that will ensure the best outcome.

Nice and succint. Thank you.

Often patients and families can be a bit aggrieved when my clinic is running late. But I have a simple principle - I give as much time to a case as it requires without rushing. I often do end up apologising to patients when I am late but always assure them that they will have a thorough evaluation and treatment discussion without time constraints.

Very pleased to hear and thank you for taking the time to give feedback.

A big part of being a good kids orthopaedic surgeon is simply not operating on any child that can be optimally managed without surgery in a cast or splint. Non-operative management of common fractures is in itself a skill.

Thank you for the kind review

Thank you. Comprehensive clinical assessment is the cornerstone of accurate diagnosis.

Very nice to hear. Thank you.

Thank you for the kind feedback. Often communication assumes a greater part of treatment than the treatment itself. Valuing and responding to patient concerns should always be at the forefront of care no matter how simple the clinical problem may seem in the overal scope of your practice.

Thank you for this most generous of reviews. I don't think I can live up to this praise. It does reaffirm my belied that the primary obligation of a physician is not to cure but to care. Many thanks and I will continue striving to live up to this expectation with my patients who above all other things, place their trust in me.