Volume 17 - Issue 10 - October 2004

News and Trends »

New Study Says VA System Provides Better Care For Patients With Diabetes

By Brian McCurdy, Associate Editor | 5503 reads | 0 comments

How does the care of diabetic patients at Department of Veterans Affairs (VA) facilities stack up against care given by professionals in managed care plans? A new study involving over 8,000 people suggests patients with diabetes receive superior care at the VA facilities.
The study, which was recently published in the Annals of Internal Medicine, tracked nearly 1,300 patients with diabetes in five VA centers and compared their care to that which was received by 6,900 patients with diabetes in eight managed care health plans. According to the study, 98 percent of the patients with diab



New Products »

Dress For Successful Healing

7045 reads | 0 comments

When undergoing treatment for pressure ulcers and infections, your patients may want a dressing they can easily apply once a day.

The AmeriGel Hydrogel Saturated Gauze Dressing may be the answer as it is the first antimicrobial hydrogel impregnated gauze, according to the manufacturer AmerX Health Care. The company says the product reduces the bioburden of the wound, facilitating a wound free of debris.
The gauze is indicated for use on pressure ulcers (stage I to IV), diabetic skin ulcers, venous stasis ulcers, first- and second-degree burns and post-surgical wounds with dehiscence, acc



Orthotics Q&A »

Inside Insights On Orthotic Modifications For Sports

Clinical Editor: Timothy Dutra, DPM | 15907 reads | 0 comments

When prescribing orthotics for athletes in widely varying types of sports, one must take into consideration both the needs of the athletes and the advantages and disadvantages different types of shoes may offer. With that said, these panelists offer their expertise on orthotic modifications they use to keep their patients on the athletic field.

Q: What influence does athletic shoegear have on sport specific orthotics and orthotic modifications?
A:
For Stephen M. Pribut, DPM, the patient’s specific shoe category and sport have a “major impact” on the orthotics he prescribes. H



Practice Builders »

How To Master Inventory Management Of DME

By David Edward Marcinko, MBA, CFP, CMP | 8411 reads | 0 comments

Supply chain inventory management (SCIM) is essential for doctors who perform a number of similar procedures, those who dispense a fair number of products and surgeons because a medical practice’s profitability will suffer if it has too much or too little inventory of durable medical equipment (DME) on hand. How can a physician determine the proper DME inventory level? One uncommonly used approach is based on the economic order quantity costing (EOQC) method.
EOQC is a century-old accounting formula that determines the point at which the combination of order costs and inventory carrying cos



Feature »

What You Should Know About Managing Hyperhidrosis

By Mary E. Crawford, DPM, FACFAS | 21259 reads | 0 comments

Hyperhidrosis is a pathological condition of overperspiration due to excessive secretion by the eccrine sweat glands in amounts greater than required for physiological needs. The disorder often leads to personal embarrassment and professional difficulties in the workplace. It is estimated that Americans alone spend in excess of $500 million annually on products designed to decrease sweating.
Patients will often seek medical attention but the enormity of the problem is often disregarded by the medical professional, resulting in despair and isolation for those who suffer from hyperhidrosis. It



Feature »

Point-Counterpoint: Should The Lapidus Replace The Closing Base Wedge Osteotomy?

By Babak Baravarian, DPM, Donald R. Green, DPM, and Peter Kim, DPM, MS | 12733 reads | 0 comments

Yes, this author says the Lapidus facilitates better first ray stability, allows more intraoperative flexibility and is an easier procedure to perform and fixate.

By Babak Baravarian, DPM

As the field of foot and ankle surgery has evolved, there has been a dramatic shift in hallux abducto valgus surgery. Currently, the primary treatment goals are ensuring proper alignment of the first metatarsal in both the sagittal, frontal and transverse planes, and facilitating the best long-term outcome. When it comes to realignment of the first ray in all three planes and minimizing the chanc



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