Volume 16 - Issue 6 - June 2003

Feature »

How To Detect Soft Tissue Tumors

By John H. Walter Jr., DPM, MS, and Larry R. Goss, DPM | 101773 reads | 0 comments

Soft tissue tumors may often be overlooked or mistaken as “simple lesions.” For example, ganglion cysts occur so frequently in the foot and ankle that it has often led to the careless assumption that every asymptomatic, soft, movable mass represents a benign lesion. Unfortunately, this lackadaisical confidence can lead to misdiagnosis and disaster in certain situations.
Although rare, some “simple lesions” may actually represent a malignant process that goes undiagnosed until skeletal metastasis occurs or amputation is required. This tragedy could potentially lead to malpractice liti



Editor's Perspective »

Are Your Patients Taking Herbal Medications?

By Jeff Hall, Editor-in-Chief | 1605 reads | 0 comments

Perhaps you have seen delayed wound healing recently that seemed particularly stubborn and mystifying. Another patient may have unusual lower extremity swelling. In the midst of a seemingly simple surgical procedure for another patient, you notice excessive bleeding. All of these side effects may be possible if you’re treating patients who do not divulge they are taking an herbal medication.
Approximately 10 to 12 percent of adults in the United States use herbal medications, according to the Centers for Disease Control and Prevention and other recent estimates. In the article “Herbal M



Forum »

Why You Shouldn't Knock Surgical Checklists

By John H. McCord, DPM | 2383 reads | 0 comments

I walked into the operating room 10 minutes early as usual. The case was a complex repair of multiple fractures from a SUV vs. Harley wreck. None of the fractures were difficult to repair but there were four to set and fixate. The nurses laughed quietly when I hung a numbered checklist next to the X-rays. Everybody in the room laughed except the anesthesiologist, who, like me, is a licensed pilot.
Checklists save your life when you’re flying an airplane. Forgetting a small detail like the fuel level or the proper functioning of controls can result in a crash so we use checklists.
Surgery



Diabetes Watch »

How To Facilitate Better Patient Compliance

By Gary M. Rothenberg, DPM, CWS | 15014 reads | 1 comments

In the course of a single day, we often see frustrating patients who do not follow the seemingly simple instructions that we give to them. Treating non-compliant diabetic patients, specifically those who are dealing with issues of wound care, infections and even amputations, can be particularly challenging.
When I use the term non-compliant, I am sure that everyone immediately visualizes his or her most memorable patient. You may refer to this patient as a problem patient, a troublemaker or any other choice word, but are these negative judgments of patients making the challenging cases even



New Products »

Accelerating Wound Healing

3907 reads | 0 comments

Are chronic wounds throwing you for a loop?
If so, you may want to consider using CellerateRX, a new wound care gel and powder that reportedly helps to jumpstart the healing process. Advanced Wound Care, the manufacturer of the product, says CellerateRX has an array of indications ranging from diabetic ulcers and surgical wounds to pressure ulcers and second-degree burns.

The company notes that CellerateRX promotes and accelerates cellular regeneration by replicating the natural fibroconnective template. It can be a good modality for recalcitrant wounds as it promotes natural autolysis and



News and Trends »

Could Old Ankle Sprains Hamper Fitness Efforts?

By Brian McCurdy, Associate Editor | 7485 reads | 0 comments

Have you been seeing an increase in lateral ankle pain among baby boomers who have recently resumed regular exercising or sports activities? Sports medicine experts say the pain may be the result of old ankle sprains that haven’t healed properly and recommend checking the ankles of these patients for chronic instability.
An estimated 25 percent of sports injuries involve the foot or ankle, according to the American College of Foot and Ankle Surgeons (ACFAS), and a majority of these result from incomplete rehabilitation of earlier injuries.
Robert Duggan, DPM, says rigorous physical activi



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