Volume 20 - Issue 2 - February 2007

Practice Builders »

Understanding The Allure Of A Multispecialty Group Practice

By Glenn Weinraub, DPM | 6666 reads | 0 comments

      As I was channel surfing the other night, something caught my eye. It was the Discovery channel and I was looking at a huge herd of some hoofed animal. They looked pleasant enough and at peace with the world. Then a lioness came out of nowhere and whacked one of the older animals. Indeed, this particular life and death struggle on the Serengeti reminds me of why a group practice makes so much sense today.

      That lioness could just as easily have been an insurance company executive and the herd could have been the group practice. In this case, the herd



Orthotics Q&A »

Inside Insights On Evidence-Based Orthotic Therapy

Guest Clinical Editor: Lawrence Huppin, DPM | 12793 reads | 0 comments

      Given the increased emphasis on evidence-based medicine, our expert panelists review the impact of literature findings upon their prescription of custom foot orthoses for different pathologies.

      Q: Is there evidence in the literature to support the use of functional orthotic devices?

      A: The only supporting evidence relative to orthotic treatment of posterior tibial tendon dysfunction (PTTD) are studies of ankle foot orthoses (AFOs), according to Doug Richie Jr., DPM. Regarding PTTD, he says the evidence is “quite imp



Feature »

How To Provide Physical Therapy As An Ancillary Service

By Jonathan Moore, DPM | 40256 reads | 1 comments

      It should not be news that adding ancillary services to your practice not only improves patient outcomes (if done right) but moreover, ancillary services have the ability to improve your bottom line dramatically. Some estimates state upward of a 60 percent boost or higher to the bottom line. While podiatry has long been familiar with ancillary services like X-ray, vascular testing, nerve conduction testing and ultrasound, physical therapy (PT) has for many years been left off the table.



Dermatology Diagnosis »

When Multiple Lesions Fail To Resolve On The Lower Extremities

By Gary “Dock” Dockery, DPM, FACFAS | 39405 reads | 0 comments

      A 51-year-old man presents to the clinic with a chief complaint of multiple warts on both lower legs and feet. He reports that the lesions have been present for almost two years and appear to be increasing in numbers and size. The patient saw his family physician a year ago and was told to begin treating the warts with an over-the-counter wart medication containing a low percentage of salicylic acid. Since that time, he has randomly applied the wart cream with little success but did note that some of the lesions appeared to get smaller with treatment.

    &nb



New Products »

New Products

4417 reads | 0 comments

Positive Results From Negative Pressure Therapy

      For wound healing, DPMs might find success with the power of negative pressure therapy.

      The Vario 18ci negative pressure wound therapy system is an AC/DC C/I aspriator and wound dressing kit that can promote healing and the development of granulation tissue, according to the manufacturer Medela Medical Technology. The company says the product can treat stage III and IV pressure ulcers, neuropathic and venous insufficiency ulcers, dehisced wounds, partial-thickness burns, skin grafts and fl



Forum »

To Hybrid Or Not To Hybrid? A Few Key Questions To Ask

By John H. McCord, DPM | 2113 reads | 0 comments

      I noticed a small piece of paper under the windshield wiper of my car as I started to leave the doctors’ parking lot of the hospital. I stopped and retrieved what turned out to be a prescription. There was no name on it and it was not signed. There was a scrawled inscription: “Be sure to remove foil wrapper before inserting. Ha Ha!”

      One of my colleagues was making fun of the fact that my new car resembles a suppository. I took a mental inventory of possible suspects who had reason to get back at me for past pranks. The list quickly grew quite



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