I think you're right Bowie. If not for this fracture I think I would let him use HA as he has decades of experience with it. Although you would have thought decades of experience would have provided a few more case studies showing how great it is.......
Yeah personally I don't think HA can do much so wouldn't go to a surgeon who uses it, if you want augmentation with a specific material then you really have to go with whatever surgeon is routinely using that material.
Unfortunately, that kind of blasé attitude you describe, like forgetting previous conversations and doing things "on the fly" is common amongst surgeons.
Although to us, our lives often depend upon these surgeries, the surgeons see god knows how many of our cases on a daily basis.
Not to excuse them as he should have looked at the previous email but this is the reality.