Volume 14 - Issue 12 - December 2001

Point-Counterpoint »

Wound Cultures: What Is The Best Test?

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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 | 6730 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



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How To Keep That Competitive Edge

John McCord, DPM | 1738 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 | 11225 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



Editor's Perspective »

Are You Prepared For Disaster?

Jeff Hall | 1607 reads | 0 comments

Life moves so fast that few people have time to consider “what if” scenarios, even if these scenarios could have a serious impact on their lives and the lives of others. However, all of this changed on September 11. During this time of grieving, loss and fear, our lives came to an abrupt halt as we were forced to deal with the possibility of an uncertain tomorrow.
For many of us who didn’t experience direct personal losses, it was a time to reflect on our lives. It was also a time for professionals from all different fields to ask themselves troubling “what if” questions. For exampl



News and Trends »

Can Proper Footwear Help Prevent Achilles Tendinitis?

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A ruptured Achilles tendon can be problematic in many respects for athletically-inclined patients. Not only will they undergo surgery to repair the tendon, these patients face a long recovery period and extensive rehabilitation in order to get back to normal, according to the American College of Foot and Ankle Surgeons (ACFAS).
However, perhaps emphasizing the proper athletic footwear can help athletes prevent these injuries in the first place.
“The type of shoes the athlete wears makes a huge difference,” explains Eric Feit, DPM, a Fellow of the ACFAS. “Any shoe which is soft or compr