Volume 15 - Issue 6 - June 2002
Sports Medicine »
A 14-year-old male athlete comes into your office with a chief complaint of ankle pain. He says he had the pain right after a soccer match. His parents and coach concluded that he had sprained his ankle. However, despite treatment, which consisted of rest, ice and the use of an Ace wrap, the patient’s pain continued for two months. He has pain in his ankle when standing and walking, and is not able to run or return to play.
Upon further questioning, you find out that neither his foot nor his ankle were ever swollen or ecchymotic, and he cannot recall an exact instance of twisting his ankle
Editor's Perspective »
Sometimes, it’s the subtle comment that gives you pause. Shortly after giving a lecture at a recent conference, a DPM found out that a particular company had sponsored the series of lectures he had participated in and he expressed regret. “If I had known (the company) was sponsoring the lecture, I would have mentioned their product.”
Then there are the more outrageous examples of drug company influence, like the one captured in an éxpose on ABC’s Primetime earlier this year. On the program, a doctor revealed that he had received approximately $10,000 worth of freebies from var
New Products »
As a sign of the technology times, MediNotes recently introduced the most updated version of its Charting Plus software. The Charting Plus Version 4.2 features updated components and enhanced functionality for all your electronic medical recordkeeping.
Some of the revisions to the software include new ways to format note text, an enhanced chief complaint section and tables that you can now lay out in rows and columns. New customization allows you to add new folders to the Object Explorer and referral letters now have custom layouts. An image and graphics tool allows you to store digital ima
Technology In Practice »
Many patients are fearful of the pain and pinching associated with syringes and needles. Often, the anticipation of the anesthetic needle causes more discomfort and distress than the procedure itself. Milestone Scientific recently introduced an alternative to the traditional anesthetic needle injection that may reduce the pain and anxiety needles cause.
The CompuMed system delivers computer-controlled anesthesia, which you can regulate. The system features a slow injection mode and a fast injection mode. The company says the system’s microprocessor automatically delivers safe and effective
Do enough people know about your practice? Do enough primary care doctors know about your practice? Are you getting enough referrals or are most of them going to the DPM two blocks over? Several DPMs and a podiatric assistant say you have to be skilled in patient empathy, excel at staff relations and be a savvy marketer, among other things, if you want to build and sustain a thriving podiatric practice.
Stress fractures in and around the ankle are most often due to repetitive stress. These injuries are often underdiagnosed and may be misdiagnosed as “shin splints.” In fact, the symptoms may persist for an extended period before the diagnosis of a stress fracture is even made. One reason for this is these types of injuries are often sports-related. Athletes, in general, may have a higher pain threshold and continue to exercise, which can exacerbate symptoms.
At the Palo Alto Medical Foundation, we see a predominantly athletic population in our sports medicine department. Our goal is not
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