Volume 20 - Issue 3 - March 2007

New Products »

New Products

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Picturing Wounds Accurately

     As wounds progress through different stages of healing, it is important to have an accurate method of tracking their progress.

     With the new PictZar® medical software program, one would take a digital photo and load that photo and a ruler into the computer, according to Medline Industries, the manufacturer of the software program. The company says the product then accurately calibrates to the ruler and measures the wound’s length, width, circumference and area.

     Medline says



News and Trends »

News and Trends

By Brian McCurdy, Senior Editor | 9890 reads | 0 comments

How Effective Is The PTB Test In Diagnosing Osteomyelitis?

     There has been some recent debate within the profession about the effectiveness of the probe-to-bone (PTB) test in diagnosing osteomyelitis. A new study in Diabetes Care has found that the PTB test has a relatively low positive predictive value when it is utilized for diabetic patients with foot wounds.

     The two-year study tracked 1,666 patients with diabetes who underwent regular foot exams and were instructed to come to the clinic if they developed signs of lower-extremity



Forum »

Taking An Active Role In Medical Staff Leadership

By Larry Crystal, DPM | 2189 reads | 0 comments

     “Good morning, Chief” “Here comes the Chief” and “Good morning, Mr. President” are all greetings that I have heard since I was elected into the position of Medical Staff President of a tri-campus rural hospital with 65 active staff and 45 mid-level providers. So how did the only podiatrist on staff come to serve as Chief of Staff?

     Some might say that my election was the result of a fortune of circumstance and those with experience in medical staff leadership might say that I was the victim of circumstance. Regardless, I have had the honor



Forum »

Taking An Active Role In Medical Staff Leadership

By Larry Crystal, DPM | 2974 reads | 0 comments

      “Good morning, Chief” “Here comes the Chief” and “Good morning, Mr. President” are all greetings that I have heard since I was elected into the position of Medical Staff President of a tri-campus rural hospital with 65 active staff and 45 mid-level providers. So how did the only podiatrist on staff come to serve as Chief of Staff?

      Some might say that my election was the result of a fortune of circumstance and those with experience in medical staff leadership might say that I was the victim of circumstance. Regardless, I have had the hono



Diabetes Watch »

Is Limb Salvage Practical In Patients With Diabetes And Renal Failure?

By Jessica Kaylor, BA, and John S. Steinberg, DPM | 14754 reads | 1 comments

      Although the patient with diabetes and renal failure presents serious challenges to the limb salvage team, there is evidence and argument to support aggressive treatment and attempted limb salvage in a multidisciplinary clinical environment. An abundance of medical literature discusses the separate wound care challenges posed by diabetes and renal failure.

      Less work has been done, however, to identify proper treatment and salvage techniques for patients who suffer from both maladies. While many do opt for primary amputation in the patient with diab



Wound Care Q&A »

Current Concepts In Treating Ischemic Foot Ulcers

Clinical Editor: Lawrence Karlock, DPM | 19533 reads | 0 comments

     When it comes to patients with ischemic foot ulcers, potential complications can be dire. Accordingly, it is important to have a firm grasp on diagnostic studies as well as current and emerging treatment options that may enhance outcomes for patients.

     With this in mind, our expert panelists discuss a range of issues related to the ischemic foot.

     Q: How do you approach/work up the ischemic foot ulcer patient?
     A:
David E. Allie, MD, works up such patients “very, very aggressively.” Of the approxi



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