Recent content by PeaJay

You log “diaphysectomy” when you perform a diaphysectomy possibly as part of a Masquelet technique. You can technically log a hammertoe correction and the Weil separately, but really I wouldn’t waste time loggin both if you have appropriate numbers.

I have FP residents with me every year as part of their curricular (technically one of their “surgery” rotations). I have found going over quick first line therapies for hammertoes, midfoot OA, plantar fasciitis, and metatarsophalangeal joint pain are the basics they need. They get the “by the...

So how does this work? It is my understanding that the qualifying diagnosis needs to be managed at the listed PCP visit. So if that last visit was actually for a UTI it would not be relevant, but to the patient it was the last PCP visit. Also how do private practice docs deal with diagnosis...

Damn… just checked out the post-op X-rays on there. Definitely makes me feel great/over critical of my results.

Don’t forget that these patients are often Medicaid. In many areas surgical shoes, boots, ect will not be covered by Medicaid if dispensed by a podiatrist. Must be through orthotist in my neck of the woods.

I like them. Wide forefoot with square toe. Doesn’t taper like ASICS or Brooks. Forefoot not as stiff as Hoka/keens so not as great for limitus pain.

Fair enough

Unless I am missing something, this is a decent posting. It is a Large MSG associated with Health Partners. If I am not mistaken they are associated with the Regions program. Bound to be leagues ahead of private practice and in a metropolitan area. In a decent size city (not rural) … check MSG...

32 days PTO/CME with unlimited sick days. Hospital/msg

Also, depending on the school the money is paid so you can be forced do “core” rotations. Where you learn how VA residency function by clipping nails for them.

Seems like it is working well for your practice. I tend to give patients the option of amputation straight away. I find that patients choose amputation 100% of the time for pipj ulcers once they know it will be 2 weeks of recovery versus ?? weeks of abx and wound care. The other hurdle is...

Most is gone over hours, some is there for days, almost negligible at weeks. Beads should be gone in days…when you go back and close. If you leave magic beads in the foot and are hoping for a cure…well…that’s a waste. This generally summarizes my thoughts on the matter… PMMA beads Linked this...

You can bill for bead placement… Edit: Also, powder is a one time blast and beads are drug eluding.

Typically going with a staged procedure if beads are in the equation. Stage 1: aggressive tissue resection with clearance fragments and beads underneath flaps that are tacked together. If it is going to require some fancy closure suture in with Zeroform like a bolster dressing for skin grafts...

This is only true if you use those silly “absorbable” beads. Staged amp with PMMA beads, which are removed upon DPC work great.