Volume 19 - Issue 3 - March 2006
Fees are down, expenses are up and the days of fat profit margins for physicians are over. Managed care in some form is here to stay. The tidal wave of baby boomers approaching retirement suggests the pendulum will not swing back to the “good old days” of fee-for-service medicine.
The U.S. government, the payer for more than 50 percent of the covered population, continues to ratchet down reimbursement. Accordingly, many doctors are now working harder than ever. Unfortunately, they are also prone to irrational investing behavior and making more investment mistakes than ever before.
Continuing Education »
Due to the nature of the disease, the diabetic patient population has an increased risk of developing nail abnormalities, including onychocryptosis, onychomycosis and other nail structure malformations and injuries. Over one-third of diabetic patients suffer from nail abnormalities and are 2.77 times more likely to have nail mycoses compared to the general population.1
Treatment Dilemmas »
As practitioners of the foot and ankle, some conditions and their treatment options become second nature to us. For example, it seems we are fairly comfortable with the treatment options associated with a degenerated first metatarsophalangeal joint. However, what does one do with the patient who has pain at the ball of the foot when X-rays reveal flattening of the second metatarsal head and degenerative changes in the second metatarsophalangeal joint? The answer probably should be, “Well, it depends.”
Freiberg’s disease can vary in severity and typically undergoes a progression over tim
Technology In Practice »
Whether clinicians are combating painful symptoms associated with osteoarthritis or easing the postoperative pain of patients, clinicians have found a key ally with a medication that has been around for 30 years.
A non-selective, non-steroidal antiinflammatory drug, Nalfon (fenoprofen) is a proprionic acid derivative that is available in 200 mg, immediate release capsules. Clinicians have written over 37 million prescriptions for Nalfon since its FDA approval in 1976, according to Pedinol, which acquired the drug last year.
Nalfon provides mild to moderate pain relief in 15 to 30 minutes
New Products »
Several bandages are now available in one convenient package to hand out to patients.
Physician Packs include CoFlex®, CoFlex® Med and latex-free CoFlex® NL bandages, according to the manufacturer Andover Coated Products. As the company notes, the bandages feature EasyTear® technology. Patients can easily apply and remove them, and the bandages all have non-slip support.
With the compact box design and smaller roll counts, Physician Packs are easy to store. The company adds that the tan-colored packs are available in sizes from 1 to 4 inche
I have a small list of items that I prefer patients not bring to the office when they come for care. What is on the list?
• Supersized 32-oz. soft drinks
• Cell phones
The problem with 32-oz. soft drinks is obvious. I manipulate the painful heel. The patient lets out a screech and the Cherry Coke bounces off the ceiling before cascading onto my bald head.
Guns are a unique and challenging problem. I live in a rural community where