Volume 15 - Issue 7 - July 2002
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
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 »
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
Diagnostic Dilemmas »
Many people with diabetes develop skin manifestations as a result of having the disease. In some instances, such skin problems may be the first sign that the patient has diabetes. Proper recognition is the key to successful treatment, but making the proper diagnosis can be difficult. Some conditions may have similar characteristics and presentations. With this in mind, test your diagnostic acumen with the following case.
A 64-year-old female with non-insulin-dependent diabetes mellitus came into the office with right and left leg ulcerations. The patient’s past medical history is significan
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 »
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