Volume 19 - Issue 8 - August 2006
The modern podiatric physician is faced with many challenges when it comes to appropriate patient selection for surgical procedures. Specifically, when it comes to the high-risk patient with diabetes, there are potential challenges that can lead to postoperative complications and potential lawsuits. Indeed, some of these high-risk patients may experience delayed wound healing with no obvious preoperative disease elucidated in the preoperative history, physical and conventional laboratory studies.
Faced with these challenges, the astute podiatric physician
Continuing Education »
For foot and ankle specialists, the diagnosis and complete management of neuropathic arthropathy ranks among the most daunting challenges. Currently, one makes the clinical diagnosis when there is a compilation of clinical and radiographic findings suspicious for the condition. The diagnosis relies upon the histopathology to identify the neuropathic joint destruction.
Once one makes a diagnosis, either definitively or clinically, the treatment approach remains the discretion of the physician. Those best trained for treating this condition rely on the lit
Perhaps your staff is battling an insurance company for appropriate reimbursement on a handful of claims. Perhaps you are wrestling with declining accounts receivable. Perhaps you are referring patients to other sources when you could be handling more of their DME needs. Perhaps you are debating whether you can afford to invest in new diagnostic technology for your practice.
Needless to say, office revenue affects nearly every aspect of maintaining and expanding a thriving practice. With this in mind, we turned to leading practitioners and practice mana
Editor's Perspective »
Imagine this scenario. A 75-year-old patient presents to a podiatric surgeon for treatment of a fracture of the fifth metatarsal base tuberosity. Instead of placing the patient in a walker, the podiatrist gives the patient crutches so he or she can see a CMS-approved durable medical equipment (DME) supplier in order to get the walker. The DPM just hopes the walker is correctly sized, modified when necessary and applied correctly.
Indeed, this may become the new reality as the Centers for Medicare and Medicaid Services (CMS) has proposed a competitive bi
Sports Medicine »
One of the biggest challenges in a sports medicine practice is deciding when an athlete has sufficiently recovered from an injury and can return to his or her sport. Often, the podiatric physician is under pressure from various sources to return the athlete back to play quickly after injury. More often than not, it is not the athlete who puts the pressure on the doctor. Rather, it is a coach or parent who wants the athlete back in action as soon as possible.
If an athlete returns to play before an injury has adequately healed, there is a risk of re-in
Technology In Practice »
When looking for a wound care product that offers antimicrobial properties, provides effective debridement and facilitates a moist wound care environment, podiatrists may want to consider the AmeriGel Wound Dressing.
As if these benefits were not enough, one can use the dressing to treat a variety of wounds, including diabetic ulcers, pressure ulcers, post-surgical incisions and first- and second-degree burns.
R. Daniel Davis, DPM, says the topical medication is an affordable and effective option in his armamentarium.
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