Volume 19 - Issue 8 - August 2006
News and Trends »
CMS To Begin Competitive Bidding Process For DME
Changes are underway at the federal level to the durable medical equipment (DME) system for Medicare patients and may have an effect on podiatry practices and patient care. The Center for Medicare and Medicaid Services (CMS) proposes a system that will open up the durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) system to competitive bidding. As part of the plan, only those suppliers chosen through the bidding will be permitted to supply items to Medicare beneficiaries in product areas cover
Diabetes Watch »
Reducing the number of lower extremity amputations is a goal for all clinicians caring for patients with diabetes. In spite of this, the numbers of limb-threatening infections and subsequent amputations continue to rise each year. While medical and surgical interventions are frequently successful in facilitating limb salvage in patients facing amputation, failures in limb salvage attempts do occur. These failures result in multiple trips to the operating room, significant potential morbidity and prolonged disability.
In order to more accurately predict
As the podiatry profession continues to grow, new technologies emerge to help DPMs address key challenges in providing optimal care for their patients. These modalities include not only novel antibiotics to fight infection but a time-tested therapy that is just gaining prominence in the United States. Podiatrists may also enjoy the benefits of new cryogenic technology, wound care innovations and a re-emerging surgical procedure. Without further delay, let us take a closer look at these emerging innovations.
1. Bacteriophage Therapy (Phage Internation
Dermatology Diagnosis »
Podiatric physicians are often presented with dilemmas when diagnosing various dermatological conditions as these conditions may have overlapping symptoms. An accurate diagnosis is dependent on the patient history, physical examination and asking key questions to elicit telling answers from the patient. Accordingly, we have launched a new bimonthly column, “Dermatology Diagnosis,” that will test one’s skills in diagnosing dermatological conditions. Without further delay, let us consider the first case.
A 26-year-old male presents with a four-day h
Pruritus is a symptom complex rather than a dermatological condition. It is a very common manifestation of skin diseases described as an itch that makes a person want to scratch. It can be frustrating and cause some patients severe discomfort. Chronic itching can lead to sleeplessness, anxiety, depression and behavioral disorders (especially in young children). Symptoms of pruritus can be a result of skin conditions such as dry skin (xerosis), atopic dermatitis, eczema and contact dermatitis. Pruritus can also present with certain internal disorders or may be due to altered p
Screws, plates, staples, pins and wires are the hardware that the foot and ankle surgeon uses to fixate fractures, fusions and/or osteotomies. An infection involving hardware may jeopardize the bone healing process and is a precarious situation for both the patient and the surgeon. In some situations, the infection may be easily managed yet it can be limb threatening in other situations. Like any infection, early diagnosis is paramount.
Hardware is necessary to stabilize osseous segments until one achieves complete bone healing, a process that typically
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