management

Saving the Limb in Diabetic Patients With Ischemic Foot Lesions Complicated by Acute Infection

September 25, 2014

Ischemia and infection are the most important factors affecting the prognosis of foot ulcerations in diabetic patients. To improve the outcome of these patients, it is necessary to aggressively treat 2 important pathologies—namely, occlusive arterial disease affecting the tibial and femoral arteries and infection of the ischemic diabetic foot. Each of these 2 conditions may lead to major limb amputation, and the presence of both critical limb ischemia (CLI) and acute deep infection is a major risk factor for lower-extremity amputation.

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New FICO credit score formula may hurt medical collections

September 16, 2014

A new version of FICO’s credit score formula will be launched this fall that could improve the chances of getting a mortgage. But it also has the potential to impact the collections and cash flow of healthcare providers. While this is good news for the mortgage industry and individuals wanting to finance or refinance, there may be some unintended consequences for medical and healthcare providers.

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How to create a culture of universal accountability

September 9, 2014

Across industries, the highest-performing teams don’t rely on a manager to hold members accountable, but rather create a culture in which peers respectfully confront one another, according to a post from Harvard Business Review.

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Acute Posterior Tarsal Tunnel Syndrome Caused by Gouty Tophus

September 9, 2014

Gouty tophus of the tarsal tunnel is a rare cause of posterior tarsal tunnel syndrome. We present a case of acute posterior tarsal tunnel syndrome due to gouty tophus that required early tarsal tunnel release in order to avoid irreversible nerve damage. The presence of background neuropathy resulted in a less favorable result than expected

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The Diabetic Foot: History, Management and Measurement

September 4, 2014

For those of you attending the SingHealth-Duke-NUH Meeting (and others): Enjoy!

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