DPM Blogs

Are We Finally Ready To Fix The Medicare Sustainable Growth Rate Formula?

Lee C. Rogers DPM
6/27/13 | 1994 reads | 0 comments
After several years of predicted physician pay decreases, people are finally talking about replacing the Medicare Sustainable Growth Rate (SGR) formula. This formula calculated an adjustment to the physician fee schedule of -21.3 percent in 2010, -25 percent in 2011 and -27.4 percent in 2012. The American Taxpayer Relief Act of 2012 had averted the most recent decrease and replaced the conversion factor with 0 percent until 2014. In all, Congress has overridden scheduled cuts 15 times since 2003. Read More.

Podiatric Dermatology Quiz: What Is Your Diagnosis Of This Disorder?

Tracey Vlahovic DPM
6/26/13 | 2912 reads | 4 comments
Can you identify the condition in the photo on the left? An eruption of lichenified or excoriated nodules, these lesions are thought to arise from incessant scratching or repeated rubbing. Various conditions ranging from atopic dermatitis and obstructive biliary disease to diabetes and chronic renal failure may predispose individuals to this condition. Read More.

Can Referrals To Vein Specialists Be Beneficial For Your Patients?

Jeffrey Bowman DPM MS
6/25/13 | 1790 reads | 0 comments
Many podiatric physicians undervalue the relationship between the podiatry practice and the vein specialist. There is a significant overlap of patients between these two disciplines. Many of the vein patients present with lower extremity venous insufficiency that leads to edema and varicosities. A large percentage of podiatry patients complain of either lower extremity edema or venous issues. The relationship between podiatrists and vein specialists can flourish with very little overlap in treatment and services as both practices work in the lower extremity. Read More.

Study Shows One-Third Of Patients With Severe PAD And DFUs Die Without Revascularization

David G. Armstrong DPM MD PhD
6/21/13 | 1908 reads | 0 comments
A recent study published in the European Journal of Vascular and Endovascular Surgery shows that without revascularization, a significant number of patients with severe peripheral arterial disease will die before their diabetic foot ulcers heal.1 Read More.

Can Phenytoin Help Heal Diabetic And Venous Ulcers?

Allen Jacobs DPM FACFAS
6/20/13 | 3060 reads | 0 comments
Extemporaneous compounding offers the ability to individualize treatment for the specific needs of each patient. Frequently, compounding allows the creation of topical preparations that are otherwise not commercially available. Topical preparations can provide increased concentration within the wound as they have the ability to alter local wound dynamics and chronic wound physiology without systemic modification of the selected agents.1 Read More.

An Overview Of Surgical Treatments For Stage II Tibialis Posterior Tendon Dysfunction

Patrick DeHeer DPM FACFAS
6/18/13 | 2989 reads | 0 comments
Regardless of the etiology of the deformity, the three principles for flexible flatfoot deformity surgical correction include: • removal of any deforming force of the leg onto the foot; • perpendicular alignment of the hindfoot to the ground; and • a parallel relationship of the forefoot to the rearfoot. This applies to pediatric flexible flatfoot, adult flexible flatfoot and stage II tibialis posterior tendon dysfunction The treatment of stage II tibialis posterior tendon dysfunction has evolved over the years to a well-documented group of procedures. Read More.

Peering Into The Crystal Ball: When Will The Podiatry Profession Shake Free Of Dogma When It Comes To Nerves?

Stephen Barrett DPM FACFAS
6/14/13 | 3447 reads | 0 comments
I will admit I was a little spooked when I entered this place. With the parting of the heavy hanging beads bejeweling the doorway of the fortune-teller’s “office,” the hairs on the back of my neck had reached full piloerection. Read More.

A Refresher On Obtaining Informed Consent From Patients

Bradly Bussewitz DPM
6/12/13 | 2353 reads | 0 comments
During my podiatric surgical training, I noticed a difference in approaches to surgical informed consent. Some may cut the consent process short to save time whereas others may cut it short to prevent patient worry or stress. Some surgeons may provide an exhaustive list of potential complications, thus overburdening the patient’s ability to process and make decisions. Clearly, obtaining consent to perform surgery on our patients is a critical process. Accordingly, let us take a closer look at key requirements on informed consent. Read More.

What’s Stopping You From Conducting Employee Performance Reviews?

Lynn Homisak PRT
6/11/13 | 1333 reads | 0 comments
I am surprised at how many doctors do not conduct performance reviews. I am not surprised that these are the same doctors who struggle with low employee performance or poor behavior. Read More.