Volume 15 - Issue 3 - March 2002

Forum »

Why This Retired DPM Would Do It All Again

By John McCord, DPM | 1462 reads | 0 comments

Forum »

Why This Retired DPM Would Do It All Again

By Leonard Simmons, DPM | 2387 reads | 0 comments

I may have retired from office practice, but I have not retired from the practice or profession of podiatry. Why did I leave office practice? Frankly, I got sick and tired of dealing with insurance companies, HMOs and managed care groups. I got tired of spending 15 minutes with a patient and 15 minutes with a chart. I got tired of time constraints, which denied me the pleasure of practicing the art of our profession.
Looking back, I can tell you in total honesty that 40-plus years of practice seemed to go by about as quickly as a teenager can spend $20. There are so many differences between



News and Trends »

ADA Releases Revised Clinical Practice Guidelines

By Brian McCurdy | 6119 reads | 0 comments

The American Diabetes Association (ADA) recently released its revisions of the 2002 Clinical Practice Recommendations. Will these revisions lead to improved clarity, better outcomes and a heightened awareness of diagnostic indicators among all health care professionals? Those in the know seem to have a favorable impression.
“Two of the association’s most critical position statements have been completely revised and several others have been updated, using the ADA’s system for grading scientific evidence to support clinical practice recommendations,” says Lee Sanders, DPM, the Former P



Surgical Pearls »

How To Repair Calcaneal Step Deformities

By Richard Braver, DPM | 19050 reads | 0 comments

Distal posterior heel pain is a deformity we see quite often. It masquerades as chronic Achilles tendinitis, when in fact a calcaneal step (aka retrocalcaneal exostoses) is present at the Achilles insertion. You must also clinically differentiate it from adjacent problems, such as Haglund’s deformity, retrocalcaneal bursitis and intra-Achilles tendon tear. Often, these problems may be concurrent, however, you must treat the calcaneal exostoses for complete cessation of pain. Keep in mind that retrocalcaneal exostoses are most symptomatic in active individuals over 30.
On inspection, you w



Feature »

Alternative, Complementary Therapies For Diabetes

By John E. Hahn, DPM, ND | 10142 reads | 0 comments

Type 2 diabetes is one of the fastest growing diseases in the United States, with 15.7 million Americans afflicted with the disease, according to the American Diabetes Association. Diabetes is one of the leading causes of death in the United States, and the primary cause of blindness in people (due to diabetic retinopathy) between the ages of 20 and 70.1



Feature »

What You Need To Know About Depression And Diabetes

By Ken Rehm, DPM | 5968 reads | 0 comments

Diabetes is considered one of the most psychologically and behaviorally demanding of the chronic medical illnesses. Patients with diabetes are particularly vulnerable to depression. Indeed, up to one in every three diabetics has depression at a level that impairs functioning and quality of life, and lowers adherence to glucose monitoring, exercise, diet, medication regimes and glycemic control. As a result, depression increases the risk of long-term diabetic complications.
When you use self-reporting surveys as a gauge, you’ll find an even broader spectrum of depressive illness in diabetic



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