December 2006


Issue 2:

CME:  How to Address Pediatric Intoeing
Podiatry Today CME 2007

Edwin Harris, DPM, clinical associate professor in the Dept. of Orthopaedics and Rehabilitation at the Loyola Medical Center in Maywood, discusses and reviews congenital intoe conditions of infants and children.  He discusses diagnosis and treatment of such conditions as hallux varus, mettadductus, talipes equinovarus and other conditions common in the pediatric foot.    

Read on….

Local Corpus Christi Couple Awarded $19 Million against Centacor for the use of Remicade
The Foot Blog

A jury in Corpus Christi, Texas awarded $19 million to the couple after a Nueces county jury found the company negligent in “mislabeled and untruthfully advertised Remicade by not disclosing all of its risks , including damage to the liver and inflamed rheumatoid arthritis.”  Apparently, the drug resulted drug-induced Lupus after 2 years of use .  The company will likely appeal. 

Read on….

House Bill 6111-Reimburesment Provision will Link Provider Payments with Quality of Care Issues
Medical News Today

(December 19th, 2006) A house bill (HR 6111) recently approved by the 109th Congress is the latest attempt to increase Medicare reimbursements to physicians.  However, physicians must report data on certain quality-of-care measures .  This is “the latest example of public and private insurers and employers setting pay-for-performance measurements into contracts,” (reported in the Chicago Tribune, 12/14).  The bill would maintain the current level of Medicare physician reimbursements for 2007 and provide a 1.5% increase in reimbursements to physicians who agree to report data on certain quality-of-care measures (Kaiser Daily Health Policy Report, 12/14).   Physician data reporting will begin in July 2007.   

Read on….

Podiatry Today eNews
Podiatry Today Volume 4, Issue 23

ePodiatry Today online reports:  Can Proteomics Predict And Facilitate Wound Healing?  Brian McCurdy reports on The Center for Lower Extremity Ambulatory Research (CLEAR) at the William M. Scholl College of Podiatric Medicine.  Researchers are working to understand Proteomics to better determine the ability and the rate with which patients can heal their wounds.  Harvey Lamont, DPM, discusses some interesting pointers on the current treatment regimes of warts.  Diabetic cutenaous manifestations, diagnosis and treatment of necrobiosis lipoidica, granuloma annulare and bullous diabeticorum are discussed.   

Read on….

Foreign Body Granuloma of the Foot
Podiatry Internet Journal

 A case presentation of a small foreign body granuloma is presented this week in the Podiatry Internet Journal (PIJ).  A 7 year old girl presents with increased pain and a ‘lump’ to the right side of the foot.  The nodule is small and discolored with a purple hue.  Surgical excision and foreign body wooden mesquite thorn is discovered.  

Read on….

eMedicine CME Online Case Presentations
eMedicine Online CME

eMedcine presents a 63 year old man with leg pain.  Another case presents a 60 year old women with leg pain.  These cases are designed as online CME courses to discuss peripheral arterial disease (PAD). The online courses are presented to  define intermittent claudication, identify the risk factors for peripheral arterial disease (PAD), describe which patients should be screened for PAD, understand how to calculate the ankle-brachial index (ABI) and formulate a treatment plan for a patient with symptomatic PAD.    

Read on….

Recent VA Study Finds Zyvox effective against Diabetic Foot Infections
VA Communications Research Network

(September 2006) In a recent report  states the diabetes accounts for two-thirds of the 134,000 limb amputations performed each year.  A recent report by the VA involving clinical trials of 371 patients in eight countries revealed that Zyvox is at least as effective as older therapies using Vancomycin and aminopenecillins in the treatment of MRSA and VRE infections.  The drug is effective orally with a clinical cure rate of 81%.  It is also useful in allowing patients to return home earlier and not having to stay on IV antibiotic therapy due to its oral bioavailability.  

Read on….

Announcement:  Podiatry Internet Journal gets its Official Start in January 2007

The Podiatry Internet Journal is pleased to announce the beginning of our online project in January 2007.  Formerly, the Podiatry Online Journal, we now have a very distinguished board panel in place.  I’ve written a series of introductory articles in the first volume as presentation material for the journal.  This is a completely non-profit project aimed at improving case presentation and interest over the internet.  We will accept original articles from residency programs including externs and interns, private practitioners and institutions starting Jan. 1.  We hope that you will actively get involved in the project for the betterment of Podiatry as a whole.  Have a safe holiday and Happy New Year!  We have big plans for 2007!

Read on….

Sincerely yours, 

Signature
Al Kline DPM

© Podiatry Internet Communications (PICOMM)

Issue 1:

Pseudomonas Aeruginosa Infection of the Foot
Podiatry Online Journal

Pseudomas aeurginosa is a gram-negative rod bacterium that is opportunistic and can infect the foot. The disease process usually begins with the pathogen circumventing normal host defenses as seen in the immunocompromised hosts. It can lead to a wide range of infections including urinary tract infections, pneumonia, endocarditis, osteochondritis and dermatitis and associated cellulitis. A case study is presented that highlights the diagnosis and treatment of this infection as it presents in the foot.

Read on….

Informed Consent
The Foot Blog

Informed consent is an important document and establishes an agreement between you and the patient. Some important aspects of the surgical consent form is discussed.

 

Read on….

Pseudomamma on the foot: An unusual presentation of supernumerary breast tissue
Dermatology Online Journal

A very interesting case study is described in the Dermatology Online Journal in a most recent issue. This case involves a 22 year old female patient who presents with a well formed nipple to the bottom of the foot. A well formed nipple with surrounding areola and hair is presented. Histologic findings did not find glandular tissue. This appears to be the first reported incident of supernumery breast tissue ever found on the foot.

Read on….

Podiatry Online Journal
New Online Case Study Site

This week, we unvail a new web journal called the Podiatry Online Journal. This journal is a free-access site for relevent case studies in the field of podiatry. Residency directors, residents, private practioners and educators are encourage to submit case presentations of interest to the site. This is something quite unique to podiatry and we are excited about its long term possibilities. The site also has direct links to google and technoriti search engines. This will make the article information available all over the world. We are presently forming an editorial board for the site. If you have interest in serving on the editorial board for the Podiatry Online Journal, go to the site for more information. The online journal will get its start in January 2007 . I will be adding some case studies of interest to the site for example over these next few weeks.

Read on….

Global Prevalence of Diabetes Set to Top 380 Million by 2025
Rheutgers Health Information Network

In a recent report by the Reuters Health Information network, Andrew Quinn writes that the overall global prevalence of Diabetes is set to Top 380 million by 2025. Medical experts write that the diabetic population will reach 7% of the global adult population by 2025. Presently, diabetes effects 246 million people worldwide. That is up 30 million in twenty years time . . .

Read on….

We want to thank those who have forwarded our Newsletter. We want to wish everyone a safe and happy holiday season!

Regards,

Signature
Al Kline DPM

© Podiatry Internet Communications (PICOMM)