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Meet Michael Brody, DPM, FACFAOM - today at 9 p.m. ET
Dr. Michael Brody will be the guest on today's Meet the Masters audio-conference (at 9 p.m. ET) with host, and former ACFAOM president, Dr. Bret Ribotsky. He will answer your questions about Meaningful Use, PQRS, HIPPA, encryption, ICD-10, computer solutions, and more. To register for this FREE weekly, and unique, learning experience that will give you additional insights into the profession's past and future click here.
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Study finds Langer brace immediately improves balance among older adults
Lower Extremity Review
A custom ankle foot orthosis (AFO) made by Ronkonkoma, New York-based Langer Biomechanics produced immediate improvements in postural sway and lower extremity coordination in older adults without limiting functional performance, according to a study epublished October 29 by Clinical Biomechanics.
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Survey: Patient engagement continues to face challenges
By Scott E. Rupp
In the true age of patient engagement — a topic much talked about the last two years, but one now seemingly having gained real traction — providers continue to admit that they are having trouble with meeting the mandates established for them by meaningful use stage 2 requirements. The challenges they face with engaging patients, of course, means they also run the risk of pushing away patients if they fail to meet consumers on their terms. This is a fairly standard industry sentiment and one of the primary takeaways from a recent nationwide survey.
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When should we refer a patient to a wound care center?
Podiatry Today
When should we refer a Medicine is a wonderful, varied profession covering the body from head to toe. From the internist who serves as gatekeeper and jack-of-all-trades to the specialized surgeon, the body is well cared for from head to toe. Podiatry has become specialized over the past decades to include everything from sports medicine and ankle surgery to wound care. Often, the challenge in medicine for the practitioner is to know when to refer a patient to someone with more specialized training.
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Burnout grows among physicians
The number of burned-out physicians is on the rise, with nearly half of American doctors reporting a loss of enthusiasm for work, feelings of cynicism and a low sense of personal accomplishment, according to a new survey from Medscape. The burnout rates are highest among critical care and emergency department physicians, 53 and 52 percent of whom, respectively, report being burned out, the 2015 Physician Lifestyle Report found. Across all types of physicians surveyed, 46 percent described themselves as burned out, compared to 39.8 percent of doctors surveyed in 2013 for the 2014 report.
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Diabetes-related foot condition often missed
Winnipeg Free Press
A debilitating condition called Charcot foot is often missed among the nearly 30 million Americans with diabetes, doctors say. Charcot foot can occur in the one-third of diabetes patients who lose feeling in their feet and other lower extremities, a condition called peripheral neuropathy. In the early stages of Charcot foot, bones in the foot may weaken and break. Casts can help the bones heal and special orthopedic footwear can protect the feet once the bones have healed, doctors say.
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Using the dorsal perforator metatarsal artery propeller flap to facilitate limb salvage
Podiatry Today
The incidence of diabetes mellitus worldwide has reached almost epidemic proportions with nearly 29 million affected by the disease in the United States alone. In concert with this increased incidence, there has been a significant rise in the observed comorbidities commonly associated with the disease process in patients living with diabetes. Among these complications, lower extremity manifestations are a significant source of patient comorbidity, mortality and healthcare expense.
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Missed last week's issue? See which articles your colleagues read most.

    Why are we so afraid of local anesthetics with epinephrine? (Podiatry Today)
Patients' biggest gripe about physicians (Physician's Practice)
How 3.5 inch heels could prematurely age your joints (Daily Mail)
Sitting increases disease risk...and exercise may not reduce it (Medical News Today)
Diagnostic accuracy of clinical tests for Morton's neuroma compared with ultrasonography (Journal of Foot & Ankle Surgery via PubMed)

Don't be left behind. Click here to see what else you missed.

Feds to ease up on electronic health records program
The Hill
Federal regulators announced their intention to ease up on the meaningful use electronic health records (EHR) program, one week after a coalition of 35 medical societies called for major changes. In a blog post, senior Centers for Medicare and Medicaid Services (CMS) official Patrick Conway said the agency is working on "multiple rulemaking tracks" to adjust the program based on provider feedback.
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Don't ignore flat feet: Study links condition to painful foot maladies
Killeen Daily Herald
Treatment and prevention of adult flatfoot can reduce the incidence of additional foot problems such as bunions, hammertoes, arthritis and calluses, and improve a person’s overall health, according to research published in an issue of the Journal of Foot & Ankle Surgery. Overweight males in white-collar jobs are most apt to suffer from adult flatfoot disorder, a progressive condition characterized by partial or total collapse of the arch, according to the research.
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An immediate effect of custom-made ankle foot orthoses on postural stability in older adults
Clinical Bionmechanics via PubMed
Foot and ankle problems are highly prevalent fall risks in the elderly. Ankle foot orthoses designed to stabilize the foot and ankles have been studied within specific patient groups, but their efficacy with a less restrictive elderly population is unknown. This study investigated if custom-made ankle foot orthoses improve postural stability in older adults (see research abstract at end of this issue).
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Foot & Ankle Weekly

Colby Horton, Vice President of Publishing, 469.420.2601
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Julie Bernhard, Executive Editor, 469.420.2647  
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Disclaimer: Stories and advertisements from sources other than ACFAOM do not reflect ACFAOM's positions or policies and there is no implied endorsement by ACFAOM of any products or services. Content from sources other than that identified as being from ACFAOM appears in the Foot & Ankle Weekly to enhance readers' understanding of how media coverage shapes perceptions of podiatric orthopedics and medicine, and to educate readers about what their patients and other healthcare professionals are seeing in both professional journals and the popular press.

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