The Dangers Of ‘Declaring’ Diagnoses

Allen Jacobs DPM FACFAS
12/17/12 | 1967 reads | 0 comments
The phrase “Well, I declare” is humorous when heard on television or movie entertainment portraying a stereotypical southerner. My friend and accomplished former college and podiatry school (for my colleagues who prefer to say they attended medical school, I apologize — I went to podiatry school) classmate, Marty Pressman, DPM, once commented to me that the best part of being an orthopedist is that you can “declare” a diagnosis without the necessity of certain things, such as — oh, for instance — facts. Read More.

The Power Of Words: When An Orthopedist ‘Discovers’ A Severed ‘Artery’ On The Plantar Surface Of The Toe

Allen Jacobs DPM FACFAS
11/27/12 | 2218 reads | 2 comments
A recent podiatric malpractice case for which I had the honor of serving as a defense expert was one of two recent cases (I'll discuss the second case next month) wherein I had the opportunity to examine the power or wording in an operative report. As always, I wish to share my experiences in the hopes of the readers learning something about the real world of medical malpractice. Read More.

Sounding Off On Ultrasound

Allen Jacobs DPM FACFAS
8/17/11 | 4533 reads | 6 comments
The utilization of diagnostic ultrasound by podiatric physicians has increased substantially over recent years. Diagnostic ultrasound offers musculoskeletal diagnostic opportunities, particularly for soft tissue pathology, is superior to standard radiographs and, in some instances, is equal to or superior to magnetic resonance imaging (MRI). In addition, ultrasound guided interventions such as injections offer the potential of increased efficacy by virtue of increased accuracy of site directed therapies to sites of pathology. Read More.

Dead Men Do Tell Tales: When Neglecting Family History Leads To A PE-Related Fatality And Malpractice Lawsuit

Allen Jacobs DPM FACFAS
7/15/11 | 4068 reads | 0 comments
Anyone who has visited the Disney Pirates of the Caribbean ride has heard the entertaining recital of the phrase “Dead men tell no tales.” Unfortunately, in the real world, dead men can leave behind quite a tale, often in the mode of a malpractice suit. The following case settles this month and illustrates a problem that I had discussed in an earlier blog (http://www.podiatrytoday.com/blogged/why-a-post-op-fatality-is-a-wake-up... ). Different case, same problem. Read More.

Dumb And Dumber: Questioning Risky Treatment In A Case Of Posterior Heel Pain

Allen Jacobs DPM FACFAS
6/15/11 | 3994 reads | 3 comments
In reviewing medical records, I often wonder why some doctors will place themselves into an arena that invites malpractice actions. Let me present an example, a recent case that I reviewed for a plaintiff. Although I did not feel that there was malpractice in this case, I did find the treatment of the patient interesting. A relatively healthy middle-aged female consulted a podiatrist for posterior heel pain. She had no prior treatment. Her medical history was significant for controlled hypertension and low thyroid function. Read More.

Does Informed Consent Trump Standard Of Care?

Allen Jacobs DPM FACFAS
5/17/11 | 3359 reads | 3 comments
I would like to raise the following question: Can something be legal but not ethical? Informed consent is a powerful tool serving to protect clinicians from patients who claim they were not informed about their treatment. My question is whether true informed consent allows patient and clinician to bypass recognized standards of care for the patient. Read More.

Is Conservative Care Mandatory Prior To Bunion Surgery?

Allen Jacobs DPM FACFAS
4/21/11 | 7442 reads | 13 comments
A recent Cochrane Review concluded there is no evidence that non-operative management of bunion deformity, including the use of orthotics, is in any way superior to no treatment at all.1 In fact, the studies reviewed by the Cochrane database suggested that one year following initial evaluation for a bunion deformity, more people are pleased with the results of surgery than with orthotic or other non-operative management. Read More.

Raising Questions About The Technologic Imperative At Podiatry Conferences

Allen Jacobs DPM FACFAS
3/15/11 | 3113 reads | 3 comments
A recent meta-analysis has suggested that the evidence for the utilization of orthobiologic materials in place of autogenous bone grafting is low level evidence at best.1 There is hardly a podiatric scientific meeting wherein at least one, if not more than one, lecture was devoted to the need for the incorporation of orthobiologics in surgery, even routine surgeries such as osteotomy or arthrodesis in the non-compromised patient. Read More.

Can We Achieve The ‘Equality’ In Surgery That We Have Achieved In Wound Care And Diabetic Limb Salvage?

Allen Jacobs DPM FACFAS
10/21/10 | 3685 reads | 3 comments
In the last several months, I have had the opportunity to attend four major wound care conferences. Standing in the back of the room at the Diabetic Limb Salvage conference, world famous researchers and academicians Peter Sheehan, MD, and Andrew Boulton, MD, commented to me how wonderful this meeting and others such as the American Professional Wound Care Association (APWCA) meeting had become in educating medical professionals on limb salvage. Read More.