Volume 19 - Issue 4 - April 2006

Forum »

Confessions Of A Not So Avid Football Fan

By John H. McCord, DPM | 1721 reads | 0 comments

I have never been much of a fan of American football. This is partly due to a trauma related to the game early in my life. My father took me to a University of Montana Grizzly game when I was 5 years old. Naturally, we sat in the cheap seats, rickety bleachers used mostly by impoverished students and my father.
It was my first opportunity to watch a football game and I tried to concentrate but the tedium of timeouts, huddles and slow movement of huge men adorned in padding and helmets caused me to daydream. I dozed off, fell out of the bleachers and fractured my clavicle. I swore off football



Continuing Education »

Essential Insights On Treating Fifth Metatarsal Fractures

By Nicholas Romansky, DPM, and Todd Becker, DPM | 120006 reads | 0 comments

Podiatric physicians commonly see fifth metatarsal fractures when treating active patients. The actual rate of occurrence is unknown but some estimate the rate at somewhere between 0.7 and 1.9 percent of all foot fractures. Fractures of the fifth metatarsal can occur at a number of locations and while some of these respond well to conservative treatment, other fractures have been notoriously hard to heal with high rates of nonunion and other complications.
Proper classification of these fractures and a strong understanding of the mechanism of injury will help guide the podiatric physician



Editor's Perspective »

Challenging Conventional Thinking On Orthotic Therapy And Podiatric Biomechanics

By Jeff Hall, Executive Editor | 3003 reads | 0 comments

Every now and then, I catch an episode of Bravo’s Inside The Actor’s Studio. At the end of the hour, the interviewee participates in a pithy, amusing and sometimes revealing questionnaire. One of the standard questions is “What is your least favorite word?” For me, it would be two words: conventional and assumption. Those who assume are too lazy to seek out the truth. Conventional implies there is one predominant way of doing things but the dynamic nature of our lives suggests different models.
Interestingly enough, a number of articles in this month’s issue offer challeng



News and Trends » MRSA

Can A New Molecular Test Enhance MRSA Detection?

By Brian McCurdy, Associate Editor | 6613 reads | 0 comments

Given the substantial rates of methicillin resistant Staphylococcus aureus (MRSA) infection in hospitals, early detection is vital to ensure timely and appropriate treatment. A new molecular test may significantly decrease the amount of time it takes to detect MRSA and possibly reduce transmission of the bacteria, according to the authors of a new study.

Researchers who conducted the two-year study, recently published in Critical Care, evaluated over 1,000 patients who had been admitted for longer than 24 hours to a medical intensive care unit (ICU) or surgical ICU. Authors of



Diabetes Watch »

Key Insights On Surgical Timing In Charcot Neuroarthropathy

By Eric A. Barp, DPM, and W. Ashton Nickles, DPM | 14287 reads | 0 comments

The Charcot foot and ankle is a challenging clinical entity for the qualified foot and ankle surgeon. It is a progressive disease with insidious onset. Osteoarthropathy was originally described in 1703 but it wasn’t until 1868 that it was called Charcot neuroarthropathy due to Charcot’s work in linking the disease to tabes dorsalis and neuropathy.1,2 It was Jordan who linked this destructive disease — which is associated with joint dislocation, breakdown and pathologic fracture — with diabetes mellitus.3
Osteoarthropathy has an incidence ranging from 0.16 percen



Practice Builders »

Surefire Strategies For Driving Patients Away From Your Practice

By Michael Z. Metzger, DPM, MBA | 4148 reads | 0 comments

Successful DPMs know the right formulas for keeping patients. One should manage medical information professionally, run an efficient office, listen to patient concerns and always keep the patient foremost in mind. On the flip side, if a podiatric practice engages in certain other behaviors, the podiatrist will likely see more than a few patients walk out the door without returning any time soon.
That said, here are pearls on what not to do to keep a thriving practice. Unlike articles that suggest ideas to help you keep patients, I absolutely guarantee that the ideas presented in this article



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