Volume 14 - Issue 12 - December 2001

Feature »

Preserving the Diabetic Foot

Jonathan E. Moore, DPM, MS, Lawrence Harkless, DPM and George Liu, DPM | 14579 reads | 0 comments

Armed with the latest research and their own intriguing case studies, these authors take a closer look at limb salvage procedures and assess whether they are viable
alternatives to amputation.

By Jonathan E. Moore, DPM, MS, Lawrence Harkless, DPM and George Liu, DPM

Over 50 years ago when Dr. Elliot Joslin asked Dr. Leland McKittrick to evaluate the surgical options for his diabetic patients, there were few alternatives. Dr. McKittrick later became one of the pioneers of the transmetatarsal amputation, which, at that time, was referred to as the “diabetic operation.”1 It would b



Feature »

Preserving The Diabetic Foot

Jonathan E. Moore, DPM, MS, Lawrence Harkless, DPM and George Liu, DPM | 1624 reads | 0 comments

Point-Counterpoint »

Wound Cultures: What Is The Best Test?

8503 reads | 0 comments

By Jonathan E. Moore, DPM, MS

When it comes to microbiologic monitoring of a wound, qualitative and quantitative cultures are the most commonly used techniques. In the outpatient wound care environment, you would generally obtain qualitative cultures As we all know, the swab method is easy, inexpensive and is a non-invasive method that gives you specific information about bacterial contamination in the superficial wound. In addition to the class and type of bacterial organism grown from this qualitative culture, the degree of contamination has been reported as very light, light, moderate a



Feature »

Mastering The Top Five Reimbursement Challenges

Harry Goldsmith, DPM | 6206 reads | 0 comments

Getting paid promptly and properly is never easy. However, this renowned expert offers insights that can help you improve office efficiency, navigate through the red tape of managed care and ultimately bolster incoming revenue streams.

Way back when, in pre-managed care times, physicians could expect to be paid their fees in full. Unfortunately, with the advent of the managed care era, times have changed and certainly not for the better for DPMs. Physicians, who had previously maintained an “arm’s distance” from third party payers (preferring to deal directly with their patients), ha



Forum »

How To Keep That Competitive Edge

John McCord, DPM | 1636 reads | 0 comments

A new form of bragging rites exists among physicians. There seems to be competition among doctors where the winner is who who paid the least for his car. I have been the clear winner in my medical community. During the past year, I have been driving a 1967 Mercedes diesel that cost me $1,400. It doesn’t look like much but it makes a statement. It says I’m frugal and not afraid of risk.
While I always carry a tool box, a cell phone and a case of oil, the old Benz has been a reliable means of transport to and from the office. There was an unfortunate incident last spring when the drive shaf



Feature »

How To Differentiate And Treat Tendon Pathology

David C. Erfle, DPM and Nicholas Romansky, DPM | 10416 reads | 0 comments

These authors offer diagnostic tips and treatment pearls for lower-extremity tendon injuries, with a specific focus on managing chronic tenosynovitis.

Tendon pathology in the foot and ankle are the most common of all injuries. Obviously, there have been chapters in books dedicated solely to repairing individual tendons in the lower extremity. Given the array of external factors (i.e., duration and intensity of activity, improper shoes) and intrinsic factors (i.e., altered body mechanics, advanced age) that can cause tendon pathology, let’s take a closer look at how to differentiate tendon