Volume 17 - Issue 12 - December 2004
Diabetes Watch »
Is Rocker Bottom Reconstruction A Viable Option For Limb Preservation?
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
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
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.
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Sports Medicine »
Recognizing And Preventing Dehydration In Athletes
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
News and Trends »
Experts Weigh In On Continued Rise Of MRSA
Methicillin resistant Staph aureus (MRSA) infections are on the rise around the world as infections pass between hospitals and the community. The infections are not only associated with morbidity and mortality but also pose a high financial cost to patients and the healthcare profession, according to experts. What is causing the rise in antibiotic resistance and what steps should DPMs take to prevent and combat infection?
The incidence of MRSA infection has increased 40 percent in five years and one-third of pneumonia among patients on ventilators
Feature »
A Closer Look At Deep Vein Thrombosis
Venous thromboembolism (VTE) or deep vein thrombosis (DVT) is a common medical condition associated with considerable morbidity and mortality. Undiagnosed and untreated VTE can put patients at an unacceptable risk for a pulmonary embolism, which can be fatal. Thromboemboli account for 600,000 new cases, 300,000 admissions and approximately 100,000 deaths a year. Given that VTE has a recurrence rate of approximately 30 percent, early diagnosis and treatment are imperative.
In order to understand the risk factors of deep vein thrombosis (DVT), one must firs
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