DPM Blogs

Losing A True Artist In The World Of Anatomy

Stephen Barrett DPM FACFAS
8/7/14 | 511 reads | 0 comments
I had virtually no initial understanding of what the artist was trying to say to me through his work. He was famous, internationally known and revered by many, but I had not had the opportunity to know him or his work. However, via some of my respected and trusted friends from Catalonia, I became quickly immersed into his world and became a profound appreciator just like the rest of them. Read More.

How A Diagnosis Of Koilonychia May Indicate Systemic Disease

Kristine Hoffman DPM
8/6/14 | 584 reads | 0 comments
The appearance of toenails can be an important indicator of systemic disease. Koilonychia is a nail deformity characterized by a longitudinal concavity of the nail plate that creates a “spoon-shape” appearance. This nail deformity is associated with numerous conditions including nutritional deficiencies, genetic disorders, trauma, occupational exposure, vascular disorders, autoimmune disease and musculoskeletal disorders. The most commonly reported cause of koilonychia is iron deficiency anemia.1 Read More.

How To Be ‘Management Smart’ To Improve Your Practice

Lynn Homisak PRT
8/5/14 | 367 reads | 0 comments
I have not met a doctor yet who wanted to work harder, not smarter. Now more than ever before, we need to be more resourceful. It is necessary to find better ways to pinch our pennies, cut our overhead, eliminate unnecessary spending, operate more efficiently and better manage cash, staff, time, systems and marketing. It is time to reassess and think positively at the same time. Necessary changes can lead to innovative ideas, which lead to renewed, more effective efficiencies. Keep an open mind and read on for some simple tactics. Cash Flow Management Read More.

Hoka One One: Marketing Hype Or (Another) Running Shoe Revolution?

Jenny L Sanders DPM
7/30/14 | 985 reads | 6 comments
When evaluating new running shoe styles, the old adages “If it’s too good to be true, it probably is” or “buyer beware” are good rules of thumb. Having said that and considering the class action lawsuits settled by Skechers for Shape-Ups and Vibram for FiveFingers, it is more important than ever for podiatrists to be aware of new footwear trends. Read More.

What Are The Best Waterproof Orthotics?

Larry Huppin DPM
7/29/14 | 514 reads | 0 comments
Perhaps you have had patients ask you about waterproof orthoses. In my view, the most waterproof orthotic by far is a direct milled polypropylene orthosis with no cover. This all-plastic device is completely waterproof and dries off in seconds. If you require a cover and some cushion, I think the best choice is to use the direct milled polypropylene orthosis with a vinyl topcover and a layer of Poron glued to the bottom of the topcover. Neither of these materials will absorb moisture although they may wear out sooner if they are constantly getting wet. Read More.

Managing Patient Expectations For Elective Reconstructive Surgery

William Fishco DPM FACFAS
7/28/14 | 426 reads | 0 comments
I had a conversation with a longtime friend and colleague about the stresses of our job as podiatrists. The laypeople or even other medical specialists who are reading this may say, “Oh, it’s just a foot. How difficult could that be?” Read More.

Can You Diagnose This Malignant Lesion?

Tracey Vlahovic DPM
7/25/14 | 555 reads | 0 comments
What is your diagnosis of the malignant lesion on the left? Read More.

How Measuring Transcutaneous Oxygen Can Help Evaluate Wound Healing Potential

Alison J. Garten DPM
7/24/14 | 450 reads | 0 comments
I recently referred a patient who has a chronic ulceration for a vascular consult. Non-invasive testing included ankle/brachial index (ABI), toe/brachial index (TBI), pulse volume recordings (PVR), skin perfusion pressure (SPP) and transcutaneous oxygen (TCOM or TcPO2). Macrocirculation in the lower extremity occurs through the posterior tibialis artery, anterior tibial artery and the peroneal arteries, the three main arteries that supply the limb. The ABI, TBI and PVR studies evaluate macrocirculation. Read More.

Why EMRs Are Moving In The Wrong Direction

Nicholas A Campitelli DPM FACFAS
7/22/14 | 574 reads | 2 comments
As many hospitals and institutions work at transitioning to electronic medical records (EMR), the ability to obtain information on a patient has become more difficult than ever. In my opinion, electronic medical records as we know them today are probably the largest setback to the advancement of medicine that we have seen. It's frustrating for me, someone who loves technology and even contemplated a career in it, to watch medicine and technology collide instead of seeing the advancements of computers and accessibility of information complement medical records. Read More.