Volume 15 - Issue 10 - October 2002

Point-Counterpoint »

Maggot Therapy: Is It Viable In Wound Care?

By David G. Armstrong, DPM, and Gary M. Rothenberg, DPM, CDE | 9965 reads | 0 comments

Yes, maggots are inexpensive, practical and can facilitate the use of other modalities, says David G. Armstrong, DPM.

I remember bringing up the issue of using maggots to help debride a particularly intractable wound with one of my great mentors, Bill Todd, DPM, who is now with the Dr. William A. Scholl College of Podiatric Medicine at Finch University. What was his response? “Armstrong … Those damn critters have a hell of a lot less education than we’ve wasted on your sorry cranium. I should hope that you can at least learn to debride a wound as well as one of them.”
While I ofte



Forum »

Mending Damaged Feet And Damaged Trust

By John McCord, DPM | 3975 reads | 0 comments

The middle-aged woman was a new patient in my office. Her sparse short hair told me she had recent chemotherapy. Her history confirmed she had been treated for breast cancer during the past three years. Then she slipped her shoes off and I immediately noticed severe hallux varus deformities on both feet. Her question was simple, “What has happened to my feet?”
She explained she had undergone bunion surgery in another state just before her breast cancer was diagnosed. The first toes protruded out at the first postoperative visit. Her surgeon was a well-trained young podiatrist whom she rem



Editor's Perspective »

Are DPMs Sleeping On HIPAA?

By Jeff Hall, Editor-in Chief | 1642 reads | 0 comments

Procrastination is one thing, but the numbers of physicians who have applied for the one-year extension on complying with the Health Insurance Portability and Accountability Act (HIPAA) is extremely low. One consultant notes (as this issue went to press) that less than 4 percent of members of the American Medical Association (AMA) have filed for the extension. Those who don’t file for the one-year extension on October 15 will be expected to be HIPAA compliant on October 16, according to the Centers for Medicare and Medicaid Services (CMS).
While there are no specific numbers on how many D



Diabetes Watch »

Battling Heart Disease Risk In Diabetic Patients

By Bhavesh J. Shah, DPM | 4988 reads | 0 comments

Every year, 800,000 additional cases of diabetes are diagnosed and it is projected that nearly 9 percent of all Americans will have diabetes by the year 2025.1 More shockingly, the incidence of diabetes has gradually increased among young people over the last decade, mainly related to an increase in obesity and sedentary lifestyles. In addition, diabetes may commonly reappear in women who previously had gestational diabetes.2
Diabetes has truly proven itself to be a progressive Pandora’s box, which can cause severe complications such as heart disease, kidney disease, b



New Products »

The DR. Is In

2187 reads | 0 comments

A new line of comfort walking shoes may address a wide range of individual foot needs without straining the wallet.
The Etonic DRx line from Etonic Athletic features five new shoes to fit multiple widths of both men and women. According to the company, all of the shoes also offer enhanced comfort via Etonic’s Footrest Comfort System, a dual density, multi-layered footbed with a gel heel insert.

In addition to these features, Etonic says the DRx Journey, a men’s walking shoe, offers double depth sizing, a Dri-lex multi-zone sock liner system, a heel Stable Air chamber and other notabl



News and Trends »

Expert Addresses Global Diabetes

By Brian McCurdy, Associate Editor | 6532 reads | 0 comments

“Diabetic foot disease is truly a global problem. Every patient of whatever race, with diabetes of whatever type, is at potential risk for developing foot problems,” noted Andrew Boulton, MD, during his keynote address, “The Diabetic Foot: A Global View,” at the Annual Scientific Meeting of the American Podiatric Medical Association in Seattle.
Introduced by legendary Paul Brand, MD, Dr. Boulton cited rising prevalence rates of diabetes and alarming statistics in other countries. Dr. Boulton strongly emphasized the need for better education on the causes of diabetic foot ulcers, treat



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