Read this pls

[koolboy]

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Check out this guys comments bashing on pods! It's sad because he himself is a dpm

I certaintly hope there is no truth to his words

http://www.podiatry.com/etalk/Should-Podiatrists-Treat-Metabolic-t2612.html

 

[DPMer]

Check out this guys comments bashing on pods! It's sad because he himself is a dpm

I certaintly hope there is no truth to his words

http://www.podiatry.com/etalk/Should-Podiatrists-Treat-Metabolic-t2612.html

Yes, there are metabolic conditions that are abnormal in the foot, ankle,and leg. So, podiatrists can treat metabolic conditions in that sense. I look at it this way: podiatrists treat a person as a whole, not just a foot part, or an ankle part, or a leg below the knee part. Any local pathology in the foot, ankle, or leg, if not treated promptly, can negatively affect the patient as a whole whether systemically or psychologically or both. The foot, ankle and leg is part of the whole. It is not an isolated entity. This is the way all podiatrists should treat their patients: holistically (i.e. I am treating Mr. Bell as a whole person, not Mr. Bell's SER ankle fracture). If the metabolic condition is already affecting the mental status or cardiac status or renal status, then IM or some other MD or DO should intervene. But if the metabolic condition is only isolated to below the knee, then the podiatrist can handle it but HOLISTICALLY.

 

[koolboy]

Check out dr bijak's comments they're quite disturbing

Yes, there are metabolic conditions that are abnormal in the foot, ankle,and leg. So, podiatrists can treat metabolic conditions in that sense. I look at it this way: podiatrists treat a person as a whole, not just a foot part, or an ankle part, or a leg below the knee part. Any local pathology in the foot, ankle, or leg, if not treated promptly, can negatively affect the patient as a whole whether systemically or psychologically or both. The foot, ankle and leg is part of the whole. It is not an isolated entity. This is the way all podiatrists should treat their patients: holistically (i.e. I am treating Mr. Bell as a whole person, not Mr. Bell's SER ankle fracture). If the metabolic condition is already affecting the mental status or cardiac status or renal status, then IM or some other MD or DO should intervene. But if the metabolic condition is only isolated to below the knee, then the podiatrist can handle it but HOLISTICALLY.

 

[Sabin]

Check out dr bijak's comments they're quite disturbing

"Haters gonna hate."

Is he even a real person!? Can't trust everything online!

Signed,
Captain Jack Sparrow

 

[dtrack22]

lol

Bijak is an old-timer from NY...that should explain everything.

All in all the discussion was much to do about nothing. Practice within your scope and do what is best for the patient. If that includes medically managing a disease's manifestations/symptoms in the foot, so be it. If anything your mindset should be; referring to endocrine, urology, FP, etc. will do my patient "more good" and bring me more $ (as I recieve referrels back from those specialists) than screwing up a patient's Humalog while trying to be King D***...

We are foot and ankle specialists. The end.

 

[PADPM]

Yes, there are metabolic conditions that are abnormal in the foot, ankle,and leg. So, podiatrists can treat metabolic conditions in that sense. I look at it this way: podiatrists treat a person as a whole, not just a foot part, or an ankle part, or a leg below the knee part. Any local pathology in the foot, ankle, or leg, if not treated promptly, can negatively affect the patient as a whole whether systemically or psychologically or both. The foot, ankle and leg is part of the whole. It is not an isolated entity. This is the way all podiatrists should treat their patients: holistically (i.e. I am treating Mr. Bell as a whole person, not Mr. Bell's SER ankle fracture). If the metabolic condition is already affecting the mental status or cardiac status or renal status, then IM or some other MD or DO should intervene. But if the metabolic condition is only isolated to below the knee, then the podiatrist can handle it but HOLISTICALLY.

What??? How does a DPM handle it HOLISTICALLY? I have no clue what you are even attempting to say in your last sentence.

By the way, Bijak has been posting negative comments for quite some time and his glass is always half empty. I have never witnessed him post a positive comment regarding podiatry, so consider the source.

 

[dtrack22]

By the way, Bijak has been posting negative comments for quite some time and his glass is always half empty. I have never witnessed him post a positive comment regarding podiatry, so consider the source.

^ This too

I immediately stop reading letter threads in PM news when his name is attached to them.

 

[jonwill]

What??? How does a DPM handle it HOLISTICALLY? I have no clue what you are even attempting to say in your last sentence.

By the way, Bijak has been posting negative comments for quite some time and his glass is always half empty. I have never witnessed him post a positive comment regarding podiatry, so consider the source.

I see that Bijak is a DABPS. Is it a bad thing that whenever I see "Diplomate" of ABPS, I instantly become skeptical? If memory serves me correctly, those are the pre 1991 docs that were certified under the old criteria and never became board certified under the new criteria.

 

[PADPM]

I see that Bijak is a DABPS. Is it a bad thing that whenever I see "Diplomate" of ABPS, I instantly become skeptical? If memory serves me correctly, those are the pre 1991 docs that were certified under the old criteria and never became board certified under the new criteria.

Not true. The advertising laws of the ABPS state that you have to use certain terminology. You may state "Board Certified, American Board of Podiatric Surgery" or you can state "Certified-American Board of Podiatric Surgery" or you can state "Diplomate-American Board of Podiatric Surgery".

It is optional to put "Board Certified in Foot Surgery", Board Certified in Foot and Ankle Surgery, Board Certified in RRA, etc.

However, if you are putting initials following your name, the proper designation would be; Jon Will, DPM, DAPBS

But most people, myself included only use the designation; Jon Will, DPM, FACFAS and don't include their board status.


So, the bottom line is that putting "diplomate" really has nothing to do with year of certification, it's really the right way. Everyone certified IS a diplomate.

 

[Podfather]

I see that Bijak is a DABPS. Is it a bad thing that whenever I see "Diplomate" of ABPS, I instantly become skeptical? If memory serves me correctly, those are the pre 1991 docs that were certified under the old criteria and never became board certified under the new criteria.

Pre 1991 DPMs who passed the exam are as board certified as the post 1991 DPMs. Foot and Ankle was replaced by Foot and RRA not because of better training nor was the process harder. The split was the result of a problem we had when states or hospitals limited procedures a DPM could do. When that happened, those people could not sit for the Foot and Ankle exam since they did not have the opportunity to perform ankle and/or rearfoot surgery. So the ABPS decided to create a Foot only exam (BTW for the entire foot not forefoot) and once they did that had to create a second category to include RECONSTRUCTIVE rearfoot and ankle. Reconstructive was added so that our naysayers could not imply foot was forefoot only. The funny thing is many of our younger DPMs are the ones who are implying just that and behind limiting who can do what based upon certification category.

Foot and Ankle is considered the same as Foot and RRA by the ABPS. The only difference is FAS self assess every 10 years and Foot/RRA recertify. This was because that was the rule pre-1991 and just like many branches in medicine when they transitioned to re-certification the rules you certified under remained unchanged. I recently re-credentialed an orthopod and a general surgeon who had "lifetime" board certification.

I am pre-1991 but please do not lump me in with Dr. Bijak

 

[jonwill]

I am pre-1991 but please do not lump me in with Dr. Bijak

Not even close 🙂

 

[that1guyfromFL]

I am pre-1991 but please do not lump me in with Dr. Bijak

 

[MaxillofacialMN]

Well I kinda want a year of my life back for reading that "flame war."

Regardless, Bijak did mention a good point though: If diabetes is ever cured, that is a major scope in podiatry... Although, I suppose that even though there is a "cure" it doesn't mean everyone would know they had diabetes/get the treatment/etc. Either way though, that's a large amount of work that vanishes!

 

[MaxillofacialMN]

Well I kinda want a year of my life back for reading that "flame war."

Regardless, Bijak did mention a good point though: If diabetes is ever cured, that is a major scope in podiatry... Although, I suppose that even though there is a "cure" it doesn't mean everyone would know they had diabetes/get the treatment/etc. Either way though, that's a large amount of work that vanishes!

After saying that, I feel kinda bad for "hoping" that diabetes doesn't get cured... :/

 

[Podfather]

Well I kinda want a year of my life back for reading that "flame war."

Regardless, Bijak did mention a good point though: If diabetes is ever cured, that is a major scope in podiatry... Although, I suppose that even though there is a "cure" it doesn't mean everyone would know they had diabetes/get the treatment/etc. Either way though, that's a large amount of work that vanishes!

Although we see patients with diabetes and it's ramifications on the lower extremities, the majority of my practice patients are non-diabetics. My partner handles the wound care, because of the younger age of people in our locale there is little RFC, and other than an occasional charcot that needs reconstruction most of my patients have problems related to other diseases, congenital deformity, or trauma. My nonsurgical volume (which pays the bills) includes heel pain, minor trauma, achilles pathology, PTTD, and ingrown toenails.

Too often people hear Podiatry and their next word is diabetes. Hopefully that is a given but there is plenty of other pathology out there. So let's cure it!

 

[MaxillofacialMN]

Although we see patients with diabetes and it's ramifications on the lower extremities, the majority of my practice patients are non-diabetics. My partner handles the wound care, because of the younger age of people in our locale there is little RFC, and other than an occasional charcot that needs reconstruction most of my patients have problems related to other diseases, congenital deformity, or trauma. My nonsurgical volume (which pays the bills) includes heel pain, minor trauma, achilles pathology, PTTD, and ingrown toenails.

Too often people hear Podiatry and their next word is diabetes. Hopefully that is a given but there is plenty of other pathology out there. So let's cure it!

This is good news! I guess I didn't really think to much about this before posting - I took Dr. Bijak's words as truth (obviously a huge overlooked mistake). I've shadowed podiatrists on a handful of occasions and I guess you're right - much more than half of the patients did not have diabetes!