Volume 17 - Issue 12 - December 2004

Forum »

When Patients Are Not Capable Of Informed Consent

By John McCord, DPM | 3403 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

2444 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



Diabetes Watch »

Is Rocker Bottom Reconstruction A Viable Option For Limb Preservation?

By Scott Neville, DPM, Peter Blume, DPM, and Jonathan Key, DPM | 28347 reads | 0 comments

   Although Charcot neuroarthropathy occurs in a small percentage (5 percent) of the diabetic population, the natural disease course is associated with severe morbidity including chronic ulcerations, infections and amputations.1 The medical necessity of limb preservation is well known to all podiatrists. However, the recent advent of rocker bottom reconstruction provides the podiatric surgeon with another tool in the fight for limb preservation.

   Those with ulcerations secondary to Charcot foot deformity are part of a complex subset of patients who



Practice Builders »

Issues And Answers On Improving Staff Morale And Efficiency

By Lynn Homisak, PRT | 6568 reads | 0 comments

   As songwriter Henry Kaiser put it, “Problems are only opportunities in work clothes.” I can attest to this truth of this statement. As a podiatric medical assistant and consultant, I frequently lecture at meetings and speak to doctors and assistants all over the country. My mission is to help create a better work dynamic between doctors and assistants. With this in mind, let us consider some common questions that come up at meetings.

   Q: I am not having any luck training my staff. I tell them how things should be done and I still end up doing them m



New Products »

New Products

5763 reads | 0 comments

Debriding For Successful Wound Healing

   For the latest in debriding diabetic ulcers, turn to the newest variation on a tried and true papain urea formula.

   Gladase-C is indicated for diabetic and decubitis ulcers, postoperative wounds, burns and various other wounds. Smith and Nephew Wound Management, the manufacturer of the product, says the papain-urea-chlorophyllin copper complex sodium in Gladase-C offers an enzymatic debrider that one can apply throughout treatment to help remove necrotic tissue and liquefy slough.

 &



Sports Medicine »

Recognizing And Preventing Dehydration In Athletes

By Mark A. Caselli, DPM, and John Brummer, DPM | 23799 reads | 0 comments

   Fluid replacement is an important part of any athletic regimen, but proper hydration is one of the most neglected aspects of the athlete’s diet. Now that podiatrists are active members of the medical teams servicing many types of athletic events (and often act as medical directors and co-directors), it is vital to have a working knowledge of the signs and symptoms of dehydration. Active sports medicine podiatrists should also be able to develop a plan for establishing hydration protocols at sporting events.

   When athletes engage in sport, they will lose



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