Volume 16 - Issue 11 - November 2003

Forum »

When A Rude Patient Disrespects Your Staff

By John H. McCord, DPM | 8229 reads | 3 comments

I have a rule for my staff. If any of them treats a patient with disrespect, that employee is immediately terminated. I have the same rule for my patients regarding their treatment of my staff. Recently, a young, new receptionist came to me upset about something. She told me one of our patients called about his appointment and when she asked him to hold so she could check the time, he called her a “dumb b----” and hung up.
I looked at the man’s chart and noted he had been disrespectful to the female staff on other occasions. I called Mr. Jones.
“Hank, this is Dr. McCord. Could I spea



Letters »

A Closer Look At Federal Funding For Residencies

5113 reads | 0 comments

I am writing to you regarding some misinformation that is contained within the editorial section of the August 2003 issue (see “Editor’s Perspective,” page 18, August issue). I am a residency director and consider myself fairly conversant with current residency reimbursement issues, that is to say how residency programs in general and podiatric residencies in particular are reimbursed from the federal government.
For too long, the popular myth has been that residencies, in general, “make” hospitals money. It may be true that the presence of a residency may well encourage the medical



News and Trends »

Does Compliance Hamper The Efficacy Of Removable Cast Walkers?

By Brian McCurdy, Associate Editor | 5290 reads | 0 comments

Compliance may be an issue for diabetic patients wearing removable cast walkers, according to the results of a recent study on activity patterns. A recent study in Diabetes Care assesses the activity patterns of those with diabetic foot ulcerations and finds those involved in the study did not have adequate plantar pressure relief for nearly 75 percent of the steps they were taking.
The study tracked 20 patients with neuropathic diabetic foot wounds, which were all classified as University of Texas grade 1 stage A. The patients each received a standard removable cast walker (Royce Me



New Products »

A Secure Way To Prevent Skin Problems

1719 reads | 0 comments

A new philosophy toward skin care now combines the best ingredients of several systems to emphasize prevention.

The new Secura Skin Care System combines elements of Smith and Nephew’s Triple Care and Nursing Care. As the company notes, the new line combines the already known skin-friendly formulas to emphasize preventive skin care rather than mere basic care.
Secura is available in a color-coded system consisting of four steps: cleansing, protecting, moisturizing and treating. It’s part of Smith and Nephew’s new Skin Equity ph



Technology In Practice »

How A New Ulcer Repair Graft Facilitates Healing

By Brian McCurdy, Associate Editor | 7765 reads | 0 comments

Ulcer management and repair is an important aspect of podiatric practice. When it comes to facilitating ulcer treatment, there are regenerative tissue matrices that one may use. Easy application is a must in such products and it’s also important to ensure even healing in the affected area. It’s also an advantage when the graft you select has a number of potential applications.
With this in mind, one may want to consider the GraftJacket scaffold (Wright Medical), a human dermal membrane that has won raves from podiatrists.

GraftJacket’s ease of use and single applicati



Wound Care Q&A »

Insights On Testing And Treatment Of Ischemic Wounds

Clinical Editor: Lawrence Karlock, DPM | 9208 reads | 0 comments

Ischemic wounds can be challenging for any physician. With this in mind, the panelists discuss key indicators to look for in the history and physical exam, the effectiveness of noninvasive vascular testing and parameters for performing an amputation after bypass surgery. They also explore the treatment possibilities of angioplasty/stenting and the long leg distal bypass. Without further delay, here is what they had to say.

Q: What is your workup/treatment plan when a new patient presents with an ischemic foot wound?
A:
Mark Beylin, DPM, says it starts by determining the patient’s



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