Volume 16 - Issue 12 - December 2003

Letters »

Another View Of Podiatric Residency Funding

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In regard to last month’s “Letters” section (see “A Closer Look At Federal Funding For Residencies,” page 14, November), teaching hospitals that have intern and residency training programs and that also treat Medicare patients are currently being reimbursed by the Centers For Medicare And Medicaid Services (CMS) for direct and indirect expenses.
The direct expenses would cover such financial items as intern/resident salaries, health insurance, meals, malpractice insurance and educational expenses. This is usually the smaller of the amounts received by the hospital administration. Th



Forum »

Why It Pays To Be Cautious With 'Funny Looking Lesions'

By John McCord, DPM | 3328 reads | 0 comments

I have performed more than 300 unnecessary excisional biopsies during the past 28 years. They were unnecessary because the pathology reports were negative. The lesions were not malignant. It’s the five positive biopsies that made all this unnecessary surgery worth doing. I learned early in my career about the risk of neglecting to biopsy a “funny looking lesion.”
A lady in her late 50s came to me the first month I was in private practice. She had a very painful ingrown toenail. The toe seemed normal and there was hardly any incurvation of the nail border. The skin was slightly red and



News and Trends »

CDC Warns Of MRSA In Athletes

By Brian McCurdy, Associate Editor | 4908 reads | 0 comments

Methicillin-resistant Staph aureus (MRSA) infections have become increasingly prevalent in recent years in various populations. Over the past year and a half, there have been outbreaks of MRSA on athletic teams, prompting a recent report by the Centers For Disease Control and Prevention (CDC) that warned competitive athletes of the potential for infection.
In an August edition of the Mortality and Morbidity Weekly Report (MMWR), the CDC noted an MRSA outbreak on a Colorado fencing team that occurred in February. One month before that, two Indiana high school wrestlers suffered



Technology In Practice »

How A New Dressing May Enhance Healing Of Heel Ulcers

By Brian McCurdy, Associate Editor | 5477 reads | 0 comments

Ideally, a treatment should be quick and easy to use without sacrificing patient comfort. Negative pressure wound therapy can work well on wounds as it helps to remove exudate and enhance granulation. Continuing to improve upon its VAC therapy, KCI has introduced the new VAC® GranuFoam Heel Dressing. Designed just for heel wounds, the dressing has won raves from a few podiatrists for its quality, speed and ease of use. Colleen Schwartz, DPM, introduced the dressing at the American Podiatric Medical Association meeting in August and praises its benefits.
Dr. Schwartz



Orthotics Q&A »

When Treadmill Running Causes Foot Pain

Clinical Editor: Nicholas Sol, DPM, CPed | 39306 reads | 0 comments

At this time of year, many people begin to run on treadmills after receiving them as holiday presents and some seek to lose weight during the winter months. However, treadmill use increases the amount of repetition, possibly leading to biomechanical injury and potentially complicating common conditions like plantar fasciitis. With that in mind, our expert panelists take a look at the finer points of diagnosing and treating injuries sustained by patients while using treadmills.

Q: What are the most important biomechanical considerations?
A:
Exercising on treadmills exacerbates the i



Sports Medicine »

How To Handle Contact Dermatitis In Athletes

By Mark A. Caselli, DPM | 17078 reads | 0 comments

Whenever an athlete presents with an acute vesicular or chronic scaling inflammatory condition of the skin, one must consider contact dermatitis. Often, the activities of these athletes may lead the practitioner to an initial diagnosis of conditions such as friction trauma, infection and pedal hyperhidrosis while treatment of the actual condition, contact dermatitis, is significantly delayed. Contact dermatitis can manifest itself in several ways, including primary irritant contact dermatitis, allergic contact dermatitis and photoallergic contact dermatitis.

Irritant contact dermatitis is t



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