Podiatry Today

A Look Back At Times In My Career When I Was Humbled

January 22, 2015

One of my assignments for the upcoming 2015 Annual Scientific Meeting of the American College of Foot and Ankle Surgeons (ACFAS) is a discussion of the most humbling occurrences in my career. There have been many such occurrences in my 40 years of practice. However, I did seriously consider three examples of humbling experiences in my professional career

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Why Are We So Afraid Of Local Anesthetics With Epinephrine?

January 21, 2015

Imagine if you could transport Socrates, Aristotle, Jobs, Einstein, Feynman, Hawking and Halstead, just to mention a few, through time to the present and combine their wisdom and knowledge into a congealed supergenius. Put this new “machine” into present day context and boy oh boy, do we have a toy — digitally speaking of course in the form of the new Bari Tass 2015 version 2.1 Mega Cortex. This interactive hybrid computer is secreted away in the high Himalayas and has extremely limited access.

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Prescribing Orthoses For Metatarsalgia From An Iatrogenic Short First Ray

January 20, 2015

I had a patient present with lesser metatarsal pain secondary to an iatrogenic short first metatarsal. In fact, the first metatarsal head did not touch the ground, leading to rather severe pressure (and pain) under the other metatarsal heads.  

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How Effective Is Minocycline For Multidrug-Resistant Acinetobacter Baumannii?

January 16, 2015

When most of us think about minocycline, it is for the oral treatment of Gram positive infection, in particular methicillin-resistant Staph aureus (MRSA). In fact, the drug is effective against multidrug resistant Gram negative organisms including Acinetobacter baumannii .

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Emerging Insights On The Efficacy Of A New Antipruritic Gel

January 14, 2015

You will never find me waiting in line for the latest tech gadget. I am always terribly behind in that department but you will find me hunting through the literature and the exhibit halls at dermatology meetings for the latest topicals for various skin conditions. Throughout my training, I got encouragement to “think outside the box” when it came to prescribing and treating skin conditions, and that has certainly helped me establish treatment plans for my patients when all other regimens have failed. 

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Recommendations For Conservative Treatment Of Second MPJ Pathology

January 12, 2015

Pain in and around the second metatarsophalangeal joint (MPJ) is a common complaint of patients presenting to podiatric physicians. While the actual pathology may be due to a variety of conditions such as capsulitis or collateral ligament attenuation, researchers have now recognized tearing of the plantar plate as a primary cause of pain and swelling of the second MPJ.

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Setting Priorities For 2015 In Practice And Life

January 8, 2015

On New Year’s Eve, I was having a conversation with my 15-year-old son, who asked why people get so excited about the beginning of a new year. He said the date was randomly selected hundreds of years ago and really is not associated with anything significant like the Fourth of July, for instance. He could not understand why people put so much significance on the start of the new year

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Revisiting The Role Of Extracellular Matrices In Wounds

January 7, 2015

It is important to understand the role of extracellular matrix when treating complex, chronic wounds.  The extracellular matrix is the largest component of normal skin, providing skin with its properties of compressibility, elasticity and tensile strength. 1 It is comprised of connective tissues and fibers that provide support but are not part of a cell

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Why All Peer-Reviewed Journals Should Be Open Access

January 6, 2015

The philanthropist Bill Gates is someone I admire very much because he is making a difference in the world, particularly in developing countries. As of January 1, 2015 the Bill and Melinda Gates Foundation will require all peer-reviewed published research either fully or partially funded by the foundation to be published in open access journals. There is a two-year transition for this to occur, but by 2017 the 12-month embargo period to allow journals to charge for articles will lift and open access to peer-reviewed published articles funded by the foundation must be immediate

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Saving Two Feet In Three Minutes

January 2, 2015

Taking just three minutes to examine the foot of a patient with diabetes could help patients avoid complications and keep their limbs.

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