Is The First MPJ Arthrodesis Underutilized For Severe Bunion Deformities?

Patrick DeHeer DPM FACFAS
12/20/12 | 3376 reads | 1 comments
I admit that I am a perfectionist—almost to a fault. This is a good thing if you are a surgeon but if you are trying to organize your bookshelf or your digital pictures, it is tedious. I expect perfect results when I do surgery while also striving for perfection in my everyday life. Read More.

The Challenges And Rewards Of Establishing A Diabetic Foot Program In Haiti

Patrick DeHeer DPM FACFAS
11/20/12 | 2874 reads | 0 comments
There are times in your life when you know you are a part of something important, something that has the potential to be significant. These are the events that give meaning and depth to life. I recently had such an experience. I knew even before it happened that I was going to be involved in something special. Read More.

Cutting Down On Wait Times Without Sacrificing Quality

Patrick DeHeer DPM FACFAS
10/17/12 | 3971 reads | 2 comments
Medicine is a volume business. In order to have a financially thriving practice, clinicians need to see more patients. More patients equal more revenue. This is a dirty little truth that anyone in medicine knows but is very reluctant to talk about because it is not politically correct. The problem with a high volume is patients spend more time waiting. I have always inherently been aware of patient wait times. The longer patients wait, the more pressure I feel. Recently, I asked patients to fill out a survey with the following questions: Read More.

Are You Taking The Easy Way Out With The Weil Osteotomy?

Patrick DeHeer DPM FACFAS
9/18/12 | 5327 reads | 5 comments
There are a few procedures in our podiatric arsenal that we tend to overuse. I find the procedural volume of the Weil osteotomy particularly perplexing. I do not understand any central ray elevation or shortening osteotomy either. In most cases, I cannot help but judge the Weil osteotomy as a wimpy solution to a more complex problem. Do I perform the Weil osteotomy? I do use this procedure reluctantly on rare occasions. Read More.

Can An Adjunctive Akin Give You That Perfection You Are Looking For In Bunion Surgeries?

Patrick DeHeer DPM FACFAS
8/17/12 | 3010 reads | 0 comments
There are some procedures that unfairly get a “bad” reputation. This is usually due to overuse or prior misuse. The Akin procedure is one such procedure and many have used the term “cheater Akin.” This is a case in which a practitioner incorrectly uses the procedure for bunion correction. This procedure is designed for correcting the hallux interphalangeus deformity only, not any deformity proximal to the metatarsophalangeal joint. Read More.

Getting What You Deserve After Residency Graduation

Patrick DeHeer DPM FACFAS
7/18/12 | 3583 reads | 0 comments
This July, podiatric residency graduates are transitioning from comfort and protection into the world of student loans, angry patients, indifferent staff, long hours, mountains of paperwork, unjust malpractice laws, malicious malpractice attorneys and insatiable insurance companies. I wish to offer them a collective piece of advice: Do not listen to the naysayers. Read More.

Supporting Our DPM Congressional Candidates: Just Do It

Patrick DeHeer DPM FACFAS
6/15/12 | 3266 reads | 5 comments
During this election year, podiatrists across the United States have an unprecedented opportunity to have representation in Congress. We must act now and change our paradigm from expecting others to do the heavy lifting for us. You must contribute to the campaigns of Lee Rogers, DPM, and Brad Wenstrup, DPM, today, not tomorrow. Read More.

Should Podiatric Physicians Monitor HBOT?

Patrick DeHeer DPM FACFAS
5/16/12 | 4950 reads | 0 comments
“First do no harm.” Many often refer incorrectly to this phrase as part of the Hippocratic Oath. (In fact, the quote is “to do good or to do no harm.”) This phrase actually comes from the Hippocratic writing Epidemics. The meaning of this statement is of the utmost importance no matter the origin. I am proud to be part of the progress of the podiatric profession in its quest of the American Podiatric Medical Association (APMA) Vision 2015. In my opinion, however, some of these professional advancements violate the aforementioned quote. Read More.

My Top 10 Essential Podiatric Textbooks

Patrick DeHeer DPM FACFAS
4/20/12 | 43320 reads | 1 comments
I love books — both hard copy and digital. I can get lost in a bookstore for hours. My love of books prompted me to put together a list of my top 10 podiatric textbooks. In no particular order, I consider these essential to any podiatric library. I have no vested interest in any of these textbooks. This list is based solely on my personal opinion. I love the discussion and debate that book lists create so bring it on. Foot and Lower Extremity Biomechanics: A ten-year collection of Precision Intricast, Inc. newsletters, Volume 1 (Precision Intricast, 1997) by Kevin Kirby, DPM, MS Read More.