Volume 16 - Issue 1 - January 2003
Continuing Education »
In our profession, we do not receive extensive training in medical nutrition and its link to wound healing and the prevention of infections. Most podiatric and medical school curriculums devote only a limited amount of time to nutritional instruction for their students. Granted, podiatrists are aware of the nutritional requirements for the diabetic patients. Preoperatively, we usually work alongside an internist or primary care physician to help these patients balance their insulin and glucose levels during and after the foot surgeries.
While several large orthotic laboratories have offered AFOs for over 20 years, the increasing demand for the devices has become a significant phenomenon in the podiatric field. Why have podiatrists turned to AFOs more and more in recent years? There are three key reasons that have caused this shift in treatment.
First, there has been a meteoric rise in the number of patients who have challenging foot and ankle pathologies. Two of these pathologies, adult acquired flatfoot secondary to posterior tibial tendon insufficiency and diabetic Charcot’s arthropathy, have disappointing treatment re
It had long been assumed that many medical practices (including podiatric practitioners) were lagging behind in complying with then-forthcoming HIPAA regulations. The actual figures released after the recent October deadline confirm those assumptions.
The Centers for Medicare and Medicaid Services (CMS) indicate about 550,000 health care organizations filed for a one-year extension to delay HIPAA compliance. “It had previously been estimated that there were more than 2 million physician practices and other clinical Level 1 entity groups impacted by the law,” according to Dr. David Marcink
Editor's Perspective »
Perspective. They say it comes with age and is the result of an ongoing culmination of life experiences. It is the hope that as we develop this sense of wisdom, we’ll be better equipped to make smarter choices and decisions that may have a lasting impact.
However, no matter how much perspective we have, the gravity of economic realities has a way of derailing our long-term view. Certainly, bottom-line decisions are more prevalent given the current downturn in the economy. More than ever, though, it is clearly critical to maintain perspective when it comes to cost concerns in wound care fo
There’s an old Chinese curse that goes, “May you live in interesting times.” The past four months have been very interesting in the business segment of my practice. Curse is a good description of my situation. I returned from a short vacation the first week of July. My office manager said, “I’ve got some bad news. You better sit down.”
I immediately feared something had happened to one of my patients. To my relief, it was only my computer. It had crashed big time.
Amy explained the screen showed an error message when she logged on the previous day. She looked up a patient file. T
Diabetes Watch »
A recently released study by The Centers for Disease Control and Prevention (CDC) revealed that the number of diagnosed cases of diabetes rose by a third (from 4.9 to 6.5 percent) between 1990-1998. This percentage will increase to 9 by 2025. The breakdown of cases by age was particularly alarming. The incidence of diabetes increased 40 percent over a period of eight years for people 40 and over. It increased 70 percent for people 30 and over.
This is of serious concern when you consider the resulting complications that may be prevalent earlier in life and the exuberant medical care costs th
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