"The decision on what is clinically necessary is made without consulting surgeons," Michael Bell, president of the British Orthopaedic Association, is quoted as saying.
"We have always felt that an irreversible procedure of this nature that is not clinically necessary is not the right way forward.
Pain control, and more specifically injections, are a major concern for parents, so you must reassure them that it will be used whenever it is clinically necessary.
In 2012, the Virginia Office of the State Inspector General probed how often clinically necessary TDOs are not issued because no facility is available to accept the patient.
But often, if it is considered clinically necessary for routine and frequent interventions that the host placement cannot provide, a deferral of the placement might be advised or required".
The stuck patients also burden the psychiatric hospitals, taking up beds needed by others while the hospitals lose money because the state does not usually pay full rates when a patient's stay is no longer considered clinically necessary.
(ii) With respect to such care or services that are clinically necessary, the period VA determines necessary for such care or services if such period is shorter than the wait-time goals of the Veterans Health Administration.
"Both women and gynaecologists should be aware of the variation that exists in genital appearance and think carefully about exploring the idea of surgery if it is not clinically necessary".
To illustrate the role of clinically necessary aggressive subcutaneous debridement with limited excision of necrotic skin in treating necrotizing faciitis, while demonstrating the histopathologic basis of orbital spread and blindness complicating this disorder.
MRI and/or CT scans were performed if clinically necessary.
If clinically necessary, however, limiting the duration of using these medications together can minimize CIM.
