DPM Blogs

Establishing Sustained Medical Missions

Patrick DeHeer DPM FACFAS
5/26/09 | 3412 reads | 0 comments
I want to strongly encourage any of you who are thinking about going on a medical mission trip or would like to go on another one to do so. I would like to offer a little guidance based on my own personal experiences. Read More.

Vessel Loops: A Simple Alternative For Wound Closure

Molly Judge DPM FACFAS
5/21/09 | 12847 reads | 0 comments
Among the many tips, quips and pearls that we have learned over the years, some techniques will stand the test of time better than others. Indeed, some techniques are more a matter of fad than function and will soon fall by the wayside. Valuable techniques, those that become a part of every day practice, serve patients very well and become a part of the standard of care. Read More.

Freedom Of Choice: Another Perspective On The APMA/ACFAS Debate

Gary Jolly DPM FACFAS
5/21/09 | 3216 reads | 5 comments
Living in America, we are blessed with freedom, which allows us to choose the college or university we would like our children to attend. We have the right of choice when it comes to purchasing cars, houses or any other entity that has value to us. We also have the right and obligation to choose our legislators, and we can belong to any political party we choose. Read More.

Does Your Hospital Have A DRRAFT?

David G. Armstrong DPM MD PhD
5/20/09 | 2460 reads | 0 comments
In the ongoing collaboration between the Infectious Diseases Society of America (IDSA) (www.IDsociety.org/) and the Southern Arizona Limb Salvage Alliance (SALSA) (www.DiabeticFootOnline.com/), we have proposed the following key skill set for any multidisciplinary team dedicated to amputation prevention. We refer to this team as the Diabetic Rapid Response Acute Foot Team (DRRAFT). Here are the key skills for such a team. Read More.

Bridging The Gap Between Life Lessons And Cornerstones Of A Successful Practice

Allen Jacobs DPM FACFAS
5/13/09 | 2546 reads | 0 comments
In 1999, a retired orthopedic surgeon published his perspective on the essentials of success in practice.1 I found his insights and suggestions helpful. I pass these on to our younger colleagues as advice that will stand them well in daily practice. Some older doctors may benefit as well. 1. Maintain humor, humility and humanity. 2. Make only original mistakes. 3. Invest time, thought and energy in interpersonal relationships with patients, colleagues and loved ones. 4. Apologize when causing pain to patients or when you keep them waiting. Read More.

Why It Is Becoming More Common To Utilize Closed Reduction And Percutaneous Fixation

Lawrence Fallat DPM FACFAS
5/13/09 | 3215 reads | 1 comments
While preparing a lecture on closed reduction with percutaneous fixation techniques for calcaneal fractures, I was surprised to see how common this technique had become. In addition to using these techniques in the management of avulsion (beak) fractures of the superior posterior aspect of the calcaneus, surgeons are using them for Sanders II fractures. These are intra-articular joint depression injuries that are difficult to reduce even with open surgery. Some surgeons are even using arthroscopy to ensure accurate closed reduction of these fractures. Read More.

A Closer Look At Scope Of Practice Battles In South Carolina

Michelle L. Butterworth DPM FACFAS
5/6/09 | 5097 reads | 0 comments
While I enjoy living in South Carolina, I do not enjoy its limited scope of practice for podiatry. I did a four-year residency, which involved reconstructive rearfoot and ankle procedures, foot and ankle trauma, and limb salvage. I moved to South Carolina immediately after residency and have been here for 10 years now. I do not want to sound naïve. I knew the limitations of the state’s scope of practice before I moved and I chose to move to South Carolina regardless. I did however have high hopes — even though I knew it would be a tough battle — that our state law would eventually Read More.

Is Clinical Examination A Lost Art?

William Fishco DPM FACFAS
5/1/09 | 2973 reads | 1 comments
We live in a high-tech world. Medicine and surgery are not exempt. I personally think we are all prone to forget the basic tenets of diagnosis. Think way back to podiatry school when you learned the fundamentals (range of motion, manual muscle testing, gait exam, etc.) of examining the foot and ankle. Today, it is all about diagnostic ultrasound, MRIs, CTs, bone scans and other “hands-off” testing modalities. Certainly, these tests have their place in working up a difficult diagnosis but let us not forget the most important aspect of examination. It is not uncommon for me to see pa Read More.

Could Recent Discoveries In Research Eventually Lead To Genetic Therapy For Clubfoot?

Kathleen Satterfield DPM FACFAOM
5/1/09 | 3504 reads | 0 comments
Soon there will be a time when the next generation of cutting-edge podiatrists trained in rearfoot surgery will see children with clubfoot being treated non-surgically. I am not talking about those patients who are amenable to treatment via serial casting. I am talking about the bad boy deformities that require tendon releases and opening of joint capsules for repositioning. It was a previously unheard of thought — treatment science fiction really. However, researchers from the Washington University School of Medicine in St. Louis recently discovered a mutation in the gene responsible fo Read More.