Volume 16 - Issue 2 - February 2003
After a very pleasant 26 years of solo practice, I hired a young associate. Mike is a good kid with excellent surgical skills. My patients like him and he has added a new element of energy to my practice.
Mike had called my office seeking work about 18 months ago. He told me he was entering his second year of a PSR-24 and wanted to work in a small town in western Washington. I was happy with my solo practice but stayed on the phone to be polite. Then I told him I had no need for an associate. We exchanged e-mail addresses and I expected not to hear from him again. Wrong!
Mike sent me an e-ma
Diabetes Watch »
Recent advancements in technology have led to numerous adjunctive therapies for healing chronic wounds. In many cases, though, we can achieve healing in a short period of time once we identify the underlying factors that inhibit proper healing. With this in mind, let’s take a closer look at some of these common impediments.
While wound hypoxia is the most common obstacle we see, it is also the most difficult hurdle in facilitating wound healing. You can measure wound hypoxia with transcutaneous oxygen pressure (TcPO2). A TcPO2 reading of less than 40mmHg has been correlated with poor wound
Sports Medicine »
Skiers, ice-skaters, joggers, mountain climbers and outdoor enthusiasts are all prone to cold-related skin injuries. Local cold injuries occur when the core (consisting of internal structures such as the brain, heart, lungs and abdominal organs) temperature is maintained but the shell (skin, muscles and extremities) temperature dramatically decreases.
The feet are among the most commonly affected body parts with these local cold injuries. Duration of the exposure, the temperature to which the skin has been exposed and the wind velocity are the three most important factors to consider when de
Practice Builders »
Predictably, the most sought after and most efficient medical practices have a common denominator: the ability to educate and communicate in a timely and effective manner. Patients do not come to us for our ability to make a buttress pad or apply an Unna boot. They come to us for our diagnostic ability and to be effectively educated on their condition and the available treatment options. As an educator, you are viewed as the authority and the relater of valuable information.
Patients will retain information differently but all learn by different methods: verbal, tactile, visual or auditory. M
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