onychomycosis

A Closer Look At Emerging Research On Plantar Fasciitis And Plantar Fibromatosis

May 16, 2013

Here is a look at numerous recent studies on the diagnosis and various treatments of plantar fasciitis and plantar fibromatoses. read more

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What Summer Sandals To Recommend To Patients

May 6, 2013

With summer just around the corner, patients are already starting to ask, “What sandals do you recommend”?

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Keys To Managing Severe Onychomycosis

April 19, 2013

Given the prevalence of onychomycosis and its varied clinical presentation, this author discusses the evolution of diagnostic testing and offers insights on the roles of various modalities in the treatment of severe onychomycosis. read more

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News Story About Pharma Industry Payments – Response

March 13, 2013

I am sorry that it has been so long since I put up a post.  Things have been slightly hectic. Unfortunately, instead of reporting on new infectious disease information, with this entry I find myself responding to a story about my receiving payments to lecture from the pharmaceutical industry.  The story ran today (3/13/13) in the Philadelphia Inquirer and online at www.philly.com .  http://www.philly.com/philly/health/20130312_Philly_foot_doc_among_highest_paid_by_Big_Pharma.html When the original print story was run I had not had a chance to respond to the author, reporter Sam Woods.  I give Mr. Woods credit for updating the online story in response to some of my comments, reproduced below, which I emailed to him this morning.   I feel that the Pharma Industry has done an excellent job in disseminating important information that may otherwise not be available to those of us interested in saving limbs of patients with diabetes.  This is done in an unbiased, government approved and monitored way, under strict federal guidance.  My lectures are randomly, and independently audited for compliance with these guidelines and I have never been found to be deficient.  Here is my response to Mr

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Off Label Drug Promotion…Coming Soon?

December 12, 2012

(I want to thank my friend and colleague Jeff Karr, DPM ( www.osteomyelitiscenter.com ) for alerting me to this news story.) Just this past week the U.S.

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What The Recent Literature Reveals About Antibiotic Use And Multi-Drug Resistant Gram Negative Rods

August 22, 2012

I confess that I have been a bit lackadaisical in my scanning through the journals I receive each month. This point hit home the other day when I went to find room on my desk to put some work and realized it was totally covered with stacks of journal back issues I had put aside with all good intentions to eventually read through. It was time to start clearing my desk with the side benefit of realizing I could probably come up with some interesting articles to blog about

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Do We Overuse MRI?

August 8, 2012

Did I really need to order that magnetic resonance image (MRI)?

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How to Make A Sesamoid Pad

August 3, 2012

Sesamoiditis can be a challenge for the physician and patient alike. A simple way to alleviate sesamoiditis is to fabricate an offloading sesamoid pad and attach it to the underside of your patient’s sock liner or shoe insole.

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How Running Cadence Can Be A Clue To Injury Prevention

July 25, 2012

People often mention cadence when discussing proper running technique. What exactly does it mean?

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Radio Interview About Diabetic Foot Infections and SALSAL

July 17, 2012

This past Sunday, July 15, I had the pleasure of participating in a radio interview on WOKV, Jacksonville, FL, the largest, most listened to talk radio station in Northern Florida. Here is the link to the audiostream: http://wokv.media.streamtheworld.com/audio/save_leg_save_101730761.mp3 The show was hosted by Desmond Bell, DPM.  Des, a former student “done good”, is the Executive Director of the Save a Leg, Save a Life Foundation   http://savealegsavealife.org/ or SALSAL. From its modest beginnings as a way for Des and his wife De Anna, a nurse practitioner and wound specialist, to get local providers in the Jacksonville area up to speed in the area of wound care, SALSAL has grown into a nationwide organization with at least 30 local chapters spread throughout the US.  As I mention in the interview, the scope of the organization did not really hit me until I was giving a dinner lecture to the local chapter in Seattle a few months back and over 70 health care providers of all specialties attended.  I have seen this organization grow from its first small meeting in Jacksonville, where I don’t think there even were 70 attendees, to a significant national “player” in the area of limb salvage.  Congrats to Des and De Anna.

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