Editorial Staff

  • Executive Editor/VP-Special Projects:
    Jeff Hall
  • Senior Editor
    Brian McCurdy
  • Circulation and Subscriptions
    Bonnie Shannon
  • Art Director:
    Alana Balboni
  • Editorial Correspondence

  • Jeff Hall, Executive Editor/VP-Special Projects, Podiatry Today
  • HMP Communications, 83 General Warren Blvd
    Suite 100, Malvern PA 19355
  • Telephone: (800) 237-7285, ext. 214
    Fax: (610) 560-0501
  • Email: jhall@hmpcommunications.com
  • March 2008 | Volume 21 - Issue 3
    Depressed patients have poorer adherence to diabetes treatment regimens. Depression is clinically important because it is associated with higher rates of mortality in patients with diabetes.
    James Wrobel, DPM
    7,973 reads | 0 comments | 09/03/08
    When it comes to patients with diabetes, the important roles of depression and distress have received more attention in the literature within the past year.1-6 While these topics are typically off our radar screens, having a stronger understanding of these connections can enable podiatric physicians to make meaningful differences in our patients’ lives. We care for patients in transitional health states across the continuum of care when these problems are more likely to surface. We also have more frequent contacts that can make us more sensitive and responsive to subt... continue reading
    Bob Baravarian, DPM
    11,017 reads | 0 comments | 09/03/08
    Ankle arthritis has been the subject of much research and researchers have made a great deal of progress in this area in the past 50 years. In the past, physicians primarily treated post-traumatic arthritis, which accounts for much of the cause of ankle arthritis, with casting. This often caused malalignment and poor articular position, resulting in rapid arthritis of the hindfoot and ankle. With the advent of internal fixation and external fixation advances, proper anatomic alignment of the hindfoot and ankle has resulted in a dramatic decrease in the rate of post-traumatic ar... continue reading
    In regard to patients with painful diabetic neuropathy, the authors assessed the effect of a nutritional supplement for eight parameters of pain, numbness and perceived impairment.
    Clinical Editor: John S. Steinberg, DPM
    6,493 reads | 0 comments | 09/03/08
    Diabetic neuropathies are a consequence of long-term hyperglycemia and occur in patients with type 2 diabetes, usually those who are 40 years of age or older. Diabetic neuropathy may occur regardless of whether a patient has insulin-dependent or non-insulin dependent diabetes. Bear in mind that diabetic neuropathy may have a variety of clinical characteristics. Patients may have a symmetric or asymmetric presentation. They may have sensory or autonomic neuropathy. ... continue reading
    John H. McCord, DPM
    3,246 reads | 0 comments | 09/03/08
    A fellow podiatrist recently called and wanted my advice on what to do after retirement. In the course of our conversation, we talked about our journey during the first years of practice. He commented that he had struggles with discrimination by hospitals. He assumed that I had these problems based on my previous “Forum” columns. I assured him that I did have challenges but never considered them interesting enough to write about. However, the call did spark my curiosity so I dug out an old file titled “Hospital Privileges Fiasco.” It contained letters that I wrote and... continue reading
    Kathleen Satterfield, DPM, FACFAOM, FAPWCA
    4,814 reads | 0 comments | 09/03/08
    The patient with diabetic neuropathy is truly overwhelmed. He or she has gone through the discovery of the disease and perhaps a subsequent refusal to believe it. The patient may not have been following the diet or medication regimen, and now he or she is facing neuropathy and other complications. These patients are now facing decisions about shoes, medications and perhaps even surgical decisions. There may have been career changes, difficulty paying bills and even shifting relationships. ... continue reading
    Here one can see a diabetic foot ulcer (DFU). Peripheral arterial disease is cited by the panelists as a key risk factor for the development of these ulcers. The panelists emphasize the importance of a multidisciplinary team in preventing DFUs.
    Clinical Editor: Lawrence Karlock, DPM
    16,194 reads | 0 comments | 09/03/08
    When it comes to patients with diabetes and lower extremity ulcers and complications, what does the evidence-based medicine say about high-risk patients and proactive prevention? These panelists examine risk factors for ulcerations, appropriate screening and offer their thoughts on what works and what does not work in terms of prevention. Q: What does evidence-based medicine show in regard to who is at risk for limb loss and foot ulcerations? A: Thomas Zgonis, DPM, says approximately 15 percent of patients with diabetes will experience a... continue reading
    Here one can see a community-acquired MRSA infection in a college athlete with excoriation. Repeated close physical contacts and skin injuries such as cuts and abrasions put athletes at an increased risk for CA-MRSA infections.
    Guy Pupp, DPM, FACFAS, and Carmen B. April, DPM
    26,705 reads | 0 comments | 09/03/08
    In the past few months, we have heard numerous reports in the news about a “new super bug” that is resistant to conventional antibiotics and is sweeping through high school sports locker rooms and classrooms. The alleged new super bug is methicillin resistant Staphylococcus aureus (MRSA) and, more specifically, community-acquired MRSA (CA-MRSA). However, MRSA is not a new type of bacteria that has suddenly appeared in the community. The organism has actually been around for quite a few decades. In 1941, all S. aureus isolates were suscept... continue reading
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    4,402 reads | 0 comments | 09/03/08
    A Unique DressingA new dressing attacks wounds from more than one angle. Biostep™ Ag Collagen Matrix Dressings use a unique dual-action approach to target and deactivate excess matrix metalloproteinases (MMPs), according to the manufacturer Smith and Nephew Wound Management. The company says the dressings also use the antimicrobial effects of silver to minimize the chance of infection. Smith and Nephew says Biostep has a six-day wear time and is more absorbent than other dressings. ... continue reading
    Ronald A. Sage, DPM
    16,767 reads | 0 comments | 09/03/08
    A diabetic patient on dialysis presented with a non-healing great toe wound with exposed bone. A study submitted to the SAWC found a 19.5 annual incidence of ulceration in diabetic patients on hemodialysis.
    Brian McCurdy, Senior Editor
    4,643 reads | 0 comments | 09/03/08
    Two abstracts, which will be presented at the upcoming Symposium on Advanced Wound Care (SAWC), seek to address the impact of dialysis upon diabetic wound healing and the long-term mortality rates of those who undergo non-traumatic amputation. For the one abstract’s retrospective review, researchers evaluated 150 patients with diabetes on hemodialysis. These patients had 30 months of follow-up for foot ulcers, infections, amputations and death. The abstract authors sought to determine if the patients received “standard preventative care” consistent with patien... continue reading