Volume 17 - Issue 12 - December 2004

Feature »

How To Detect And Treat Granuloma Annulare

By Gary L. Dockery, DPM, FACFAS | 53074 reads | 0 comments

   Granuloma annulare (GA) is a benign inflammatory, self-limiting granulomatous dermatoses characterized by a variable clinical presentation of dermal and subcutaneous lesions. Although this condition may occur at any age, it is predominantly a disease of children ranging in age from 2 to 10 and adults who are younger than 30. GA is very common in young females as they are twice as likely to be affected than males. Foot involvement occurs in more than 70 percent of all patients with GA and hand involvement occurs in 60 percent of patients.

   The lesions may



Feature »

Can JCAHO Patient Safety Goals Have An Impact?

By Steven Chinn, DPM, MS | 6415 reads | 0 comments

Everyone dreads the potential experience of making a mistake that affects patient care. However, the complexity of healthcare lends itself to these situations. Caring for patients requires a series of interconnecting steps in order to produce the desired outcome. As physicians and surgeons try to minimize the variables that arise, there are still factors, some of which we are accountable for and some not, that can add up to a bad clinical outcome.
Many states have regulations that require licensed healthcare facilities, such as hospitals and nursing homes, to report any unusual patient care p



Continuing Education »

How To Perform The Double Calcaneal Osteotomy

By Alan R. Catanzariti, DPM, Robert W. Mendicino, DPM, and Brian D. Neerings, DPM | 22596 reads | 0 comments

   The double calcaneal osteotomy includes a combination of the posterior calcaneal displacement osteotomy (PCDO) and the Evans anterior opening wedge calcaneal osteotomy. One would consider this combination for symptomatic flexible flatfoot deformity in both the adolescent flexible flatfoot and the adult with late stage II (Johnson and Strom’s classification) posterior tibial tendon dysfunction (PTTD).

   The PCDO consists of a transcortical osteotomy through the posterior tuber of the calcaneus with medial transposition of the tuberosity. The PCDO displaces



Editor's Perspective »

Striving For A Diversity Of Clinical Topics

By Jeff Hall, Editor-in-Chief | 1480 reads | 0 comments

   When I first started working on this magazine, we did a small survey of readers to help determine the direction of the magazine when we took it over from the former publisher. The majority of readers said they wanted to see more clinical topics and we have pursued this editorial agenda over the years with some practice management articles mixed in as well.

   It is an ongoing education for us to provide just the right mix of articles that tackle emerging clinical topics as well as articles that discuss conditions that you see every day in your practice. Tha



Forum »

When Patients Are Not Capable Of Informed Consent

By John McCord, DPM | 3408 reads | 0 comments

   This is one of my editorials that will irritate the DPMs who equate being a podiatrist with canonization. You guys and gals might want to toss this issue aside or take an extra Paxil or Wellbutrin. Some of the decisions we make and the things we do compel us to take a harder look in the mirror.

   We need to be more careful about operating on developmentally delayed, mentally ill and drug addicted patients. Most of these patients are not capable of making an informed decision alone and need the assistance of a competent advocate. This could be a relative, gu



Letters »

Stay Away From Political Editorials

2448 reads | 0 comments

   I believe your recent editorial was inappropriate. (See “Emphasizing Accountability For Seniors On Election Day,” page 15, October issue.) You made some half-baked effort to try and present some kind of balance in your editorial but your bias was obvious. You knocked President George Bush’s accomplishments in Medicare and touted the possibility that Senator John Kerry’s plan would be superior.

   You, like so much of America, have taken Kerry’s statements at face value. Make no mistake about it. Kerry’s plan is socialized medicine. The ultra-lib



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