God, I wish I were a fly on the wall for her doctor consultations. How do they even talk to her? Do they acknowledge the self-infliction or do they just talk to her in coded language... "if this progresses, and history has shown it will, etc etc" without ever actually saying it? It's crazy.
I would have zero clue what is considered best policy in Canada specifically, but in most countries there is a point in which treatment is denied, either outright or by making the patient sign one million releases and waivers and putting the patient through an ethics panel and internal audit and...
Also worth considering is the fact that every country has a legally mandated disability table, and surely amputation of one or more legs combined with her existing mental health issues push Kelly into true carded disability and gibs.
Most countries do not like enabling gibs, so they will repeatedly recommend or only allow the most conservative treatment. If it reaches a stage where said most conservative treatment is not feasible, then there is no treatment.
Regardless, it seems amputation is either very likely (best case scenario) or imminent.
I actually had to go through the thread to see what this toe pic was. It is nowhere near amputation and probably smells worse than it looks. She will grow back an even more fucked up toenail. I am actually impressed a "ballerina" has such straight toenails.
I remember seeing ages ago she managed to pick a rotting hole through to the other side of the leg at one stage. If that is still there, yeah probably amputate.
I'm curious to know how they plan on keeping her from picking at her amputation wounds. There's no way Kelly will be able to stop herself from doing it eventually.
Weirdly, we consider the wound picking (excoriation disorder) to be a separate issue from the general crazy, and
drug them up until the right combination either alleviates the desire or zonks them out.
The "vCPM" refers to placenta cell implantation btw, and I do not think Kelly is a candidate for such an expensive procedure.
I am informed that way back in the old days, we used to purposely take arm grafts to give an excuse to bandage up a patient's arms so they are unable to use them,
but this caused some to pick at the wounds with their teeth.