Volume 16 - Issue 6 - June 2003
Editor's Perspective »
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
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.
Diabetes Watch »
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 »
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 »
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
Practice Builders »
It happens every year. All healthcare professionals have learned to anticipate annual changes in Medicare regulations, coding and reimbursement. However, this year’s delays and payment uncertainties definitely qualify 2003 as one of the worst years yet for physicians trying to do some financial planning for their practices.
For starters, the Centers for Medicare and Medicaid Services (CMS) released its 2003 Medicare Physician Fee Schedule and Final Rule on Dec. 31, 2002, two months behind schedule. As a result of that delay, the payment rates for 2003 were amended to take effect on March 1,
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