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Evaluating Tissue Perfusion To Assess Wound Healing In Patients With PAD

Eric H. Espensen, DPM, DABMSP, and Aisha Ahmed, DPM | 9,821 reads | 0 comments | 07/23/2015

A Closer Look At Venous Insufficiency And Wound Healing In Women

Alison J. Garten DPM | 1,137 reads | 0 comments | 08/24/2015

The American Association for Women Podiatrists executive board members recently had a panel discussion on special considerations when it comes to surgery, biomechanics and wound care in the female patient. My topic was women and wound healing. 

When I initially approached this subject, I did not think I would find any significant differences between wound healing in women and men. However, I would like to share with you some of my findings in regard to venous insufficiency and ulcerations in women.

Point-Counterpoint: Are Living Cells Vital For Achieving Wound Healing In Patients With Diabetes?

Alexander Reyzelman, DPM; Charles M. Zelen, DPM, FACFAS, and William W. Li, MD | 3,324 reads | 0 comments | 02/24/2016
Yes.

This author argues that living cells can be helpful in reviving disrupted mechanisms of wound healing and current research suggests the viability of advanced cellular therapy in healing chronic diabetic foot ulcers.   

By Alexander Reyzelman, DPM

Adjusting To The Affordable Care Act

Lynn Homisak PRT | 1,082 reads | 0 comments | 10/02/2014

I can’t help but wonder how many of us in healthcare know enough to respond honestly to our patients’ burning question: “Can you help me understand the Affordable Care Act and how it affects me?”

For the answer to this question, sooner or later (if they haven’t already), your patients will turn to you for help. Regardless of your political position or how the ACA has impacted your practice, you should be able to give patients helpful, relevant information.

What Is The Standard Of Care?

Allen Jacobs DPM FACFAS | 2,515 reads | 0 comments | 10/08/2014

The term "standard of care" has various definitions from state to state and from region to region. The term refers to a general concept of "what the average healthcare provider would have done under the same or similar circumstances."

Some years ago, I was sitting in the hospital doctor’s lounge discussing the opinions of a plaintiff expert in a malpractice case. An older general surgeon looked at me and said "Jacobs, I'll tell you what the standard of care is. It's whatever the expert witness tells the jury it is."

There is a great deal of truth to that statement.

Heel Pain Season: What Is Your Strategy When Conservative Care Fails?

Lowell Weil Jr. DPM MBA FACFAS | 1,918 reads | 0 comments | 06/24/2015

In my last DPM Blog (see http://tinyurl.com/qgh9azu ), I talked about the conservative regimen we employ at the Weil Foot & Ankle Institute that is evidence-based and provides consistent outcomes. However, no matter how diligent the physician and the patient are with a conservative plan, some people will not resolve their heel pain and it becomes necessary to consider other causes of the pain or more advanced treatments.

Providing The Palliative Care To Let A Patient Die With His Legs Intact

Allen Jacobs DPM FACFAS | 1,746 reads | 0 comments | 08/11/2015

Here is a note I recently received from the child of a patient:

I wanted to update you on dad and the progress of his foot. Dad is still very weak and often confused. I'm not sure if this is still the result of the pneumonia or if this is the progression of the cancer. At any rate, I moved him from his apartment a couple of weeks ago to my house so I could care for him. He would really prefer to be in his own apartment but realistically that is not possible. I suspect he probably never will be able to return there but he never ceases to amaze me.

Does A Unique Amniotic Membrane Allograft Promote Advanced Wound Healing?

Danielle Chicano, Contributing Editor | 4,860 reads | 0 comments | 03/23/2015

Podiatrists who are treating dermal ulcers and defects may want to consider an emerging wound allograft that might offer improved regenerative healing.  

A Guide To Microvascular Assessment For Wound Healing

Michelle Winder, BS, and Stephanie Wu, DPM, MSc, FACFAS | 8,158 reads | 0 comments | 04/22/2015

While physicians commonly check pedal pulses and the ankle brachial index to assess vascularity, microvascular testing methods are also key to assessing wound healing potential. Accordingly, these authors offer current insights on the toe brachial index, photoplethysmography, skin perfusion pressure and transcutaneous oxygen pressure.

How To Improve Patient Care While Increasing Revenue

Lowell Weil, Jr., DPM, MBA | 7,508 reads | 0 comments | 11/24/2014