Volume 15 - Issue 7 - July 2002

Feature »

A Comprehensive Review Of Topical Agents

By Jonathan Moore, DPM, MS, A. Patti Smith, MD, and John S. Steinberg, DPM | 15871 reads | 0 comments

The wound is in constant evolution. Changes arise and you need to be able to respond accordingly in your treatment course. Indeed, understanding the biochemical dynamics of wound healing is vital for proper product selection (see “Understanding The Phases Of Wound Healing” on page 42). The challenge to the practitioner is to have the knowledge base with which to sort through the thousands of topical agents and dressings available today.

Insights On Topical Agents With Collagen
Let’s start out with a discussion of the biologic topical agents that contain collagen. Collagen hastens wou



Feature »

How To Use VAC Therapy On Chronic Wounds

By Brian Short, DPM, Matthew Claxton, DPM, and David G. Armstrong, DPM | 37613 reads | 1 comments

Chronic wounds such as diabetic foot ulcers, venous stasis ulcers and decubitis ulcers are leading causes of morbidity and mortality in elderly patients and significantly contribute to health care costs.1-4 Wounds of these types often lead to complications such as infection and amputation.5-7 The ADA currently reports diabetes is prevalent in at least 17 million Americans, many of whom do not know they have the disease. Of these, approximately 15 percent will experience a foot ulcer or other complication requiring hospitalization during the course of the disease.8, 9
Similarly, venous wounds



Editor's Perspective »

Understanding The Changing Face Of Diabetes

By Jeff Hall, Editor-In-Chief | 2044 reads | 0 comments

New figures from the Centers For Disease Control (CDC) continue to cast a sobering view on treating diabetes in the years to come. Now there are 17 million Americans who have the disease and nearly six million of them are unaware they have the condition, according to CDC estimates. The prevalence of the disease, the sixth-leading cause of death in the United States, has increased 33 percent in the last decade. Even more troubling is the fact that the demographics of the diabetes population are growing wider.
The CDC notes that over a million new cases will be diagnosed each year among patien



Forum »

The Night The Lights Went Out In The O.R.

By John McCord, DPM | 2611 reads | 0 comments

I graduated from podiatry school and went through residency in the mid-‘70s, about the same time power instruments were introduced to podiatric surgeons. We wore grounded booties and used noisy nitrogen-driven drills. When you walked past an O.R. with a foot case going, it sounded like a Black & Decker convention. We loved our power instruments.
The problem with these new tools was young podiatrists became totally dependent upon nitrogen- and later electrically-powered drills, saws and wire drivers. Hand tools like osteotomes and mallets were retired to hospital storage closets. The new bre



News and Trends »

Insurance Costs Pack A Punch For DPMs

By Brian McCurdy, Associate Editor | 3719 reads | 0 comments

Paying malpractice insurance premiums is a necessary evil for doctors. Lately, however, both doctors and insurance companies have been feeling the crunch more than ever before. The entire country faces a “crisis” when it comes to medical malpractice coverage, although some states, like Pennsylvania and Texas, are hit particularly hard, according to PICA President and CEO Jerry Brant, DPM.
“I’m fortunately busy enough that I can afford to do surgery,” says Stephen A. Monaco, DPM, who practices in suburban Philadelphia, an area with high insurance and settlement costs. He acknowledge