Archive for the ‘Articles’ Category

Five Tips to Fix Your Aching Feet

thumbnailFive Tips to Fix Your Aching Feet


Patrick A. DeHeer, DPM

Your feet are often the most neglected and ignored part of your body, until they hurt. Then each step or minute of standing reminds you how much you depend on your feet. Foot pain is not normal, and often signifies an underlying problem. You can take some simple steps on your own initially for your pain, but if these fail to help you should seek professional care.

1. Proper Shoe Gear

Shoes are a very important initial treatment if you are experiencing foot pain. Here are some suggestions about shoes for aching feet.

Get your foot measured by a qualified shoe fitter for both length and width, preferably at the end of the day.

Wear the correct type of shoe for the type of activities you are doing. For everyday walking consider a cross trainer or running shoe if possible. If you must wear dress shoes, visit a good shoe store for recommendations and make sure you try on several pairs.

Alternate which shoes you wear daily.

You should replace worn shoes.

2. Arch Support and Shock Absorption

Arch support and shock absorption can go a long way to decrease foot pain. However, this can be a confusing due to the abundance of products available. Here are some tips to consider for an over-the-counter arch support.

A support that is entirely soft acts as a cushion only and does not provide any support to your foot.

Look for something costing in the range of $25 – 75; anything more is not worth the extra money and you would be better off with a custom made device from a professional.

Look for an arch support that is multi-layer with soft shock absorbing materials on the top and bottom with some type of supportive plastic material in the middle.

3. Stretching

Tightness of the Achilles tendon (heel cord) is a common cause or component of several foot conditions. Stretching of the Achilles tendon is very helpful, but must be done correctly.

Start facing a wall with one leg in front of the other and the toes pointing straight ahead.

Lean into the wall with both hands against it.

Bend the front knee and keep the back knee straight.

As you lean forward, you should feel a slight stretch in your calf. Hold this for 10 seconds, and come back out of the stretch. This counts as one stretch.

Perform this 10 times on the back leg.

Switch legs and perform 10 times on the other leg.

4. RICE Therapy

RICE therapy is commonly used for acute conditions and simply stands for Rest, Ice, Compression and Elevation.

Rest: You may need to discontinue any activities that aggravate your foot pain.

Ice: 20 minutes three to four times a day. If you have poor circulation or are diabetic, you should avoid ice.

Compression: Ace wrap or compression type of bandage. Avoid if you have poor circulation or are diabetic.

Elevation: Elevate the affected area when possible to heart level.

5. OTC Anti-inflammatory Medication

Take an over-the-counter anti-inflammatory medication, such as Ibuprofen or Acetaminophen, according to package instructions and precautions if you are able. If there is a question about you being able to take an anti-inflammatory, please consult your physician.

Categories: Articles, Clinical, Tips

15 ways to increase group practice revenue without cutting staff


No practice administrator likes to lay off staff, so what can you do to keep them and their benefits?

“When medical practice expenses creep too far into revenue, often a knee-jerk reaction is to cut staff. No practice administrator likes to lay off staff, so what can you do to keep them and their benefits? Find new ways to increase revenue. We’ve got 15 you can try:

  1. Place an ideas box in a well-trafficked spot for staff to contribute their thoughts on increasing efficiency and productivity. Discuss the ideas in a meeting, and choose one a month to implement. Promote healthy competition among staff by rewarding the employee with the winning idea.
  2. Convert paper explanation of benefits to an electronic format to save time on data entry.
  3. Renegotiate with vendors. To keep your business, vendors will find creative ways to save you money while still delivering value.”

Read The full article here:

15 ways to increase group practice revenue without cutting staff

7 New Year’s Resolutions For Your Practice

"What you get by achieving your goals is as important as what you become by achieving your goals."
Henry David Thoreau

By: Jesus C. Vazquez, PMAC

fireworks4The New Year is here and we have all set our personal goals for this time. However, have you started to set your Practice’s Resolution?

Even if you don’t believe in resolution setting, you should adopt a plan of 7 necessary goals to help your practice thrive in 2012.

1. Increase sales in 2012

Reporting of how many new patients you see in your office on a monthly or quarterly basis is crucial. Spot who your top referral sources are, and identify inactive referral sources who you can reach out to.

Do your new patient referrals walk away because of lack of appointment availability? Are patient’s not been fitted in on urgent basis because you have a full schedule? Effective scheduling and increased efficiency can help you meet high demand for appointment spots.

2. Market your business online

Does your practice reach out on social media websites like Facebook business pages, or other sites like yelp, or even on the yellow pages?

Start by updating your profiles with pictures, bio information, listing of your office hours and availability of your services. When you put a face to your business online profiles, people can be drawn to call your office for an appointment.

3. Establish your reputation within your community

Is your office one that is known for being honest, upfront about your office policies, and willing to go the extra mile to meet your patient’s needs?

Working those few extra minutes of lunch or after-hours to meet the extra need of an emergency can potentially create a loyal patient, and a great referral source. Satisfied patients who were helped are more likely to talk about your business than those who feel neglected.

4. Be more Productive

Often times, it is not how fast you can do things, or how much you invest in technology that propels you forward. But rather, it is simplifying processes and systems.  Can you eliminate unnecessary waste of resources and energy? Can you simplify a process to allow for less error creation?

5. Negotiate better prices for your inventory items like DME and Medical Supplies

Will buying higher quantities yield you a better price? Ask for promotional prices from conferences the week before and the week, you will be surprised at cost savings you may be missing. Oftentimes, you can save hundreds of dollars by buying bulk on conference promotions. It never hurts to ask for a better price.

6. Establish and promote a healthy Work environment

Is your entire staff inspired to be present and connected at work every day? Smiles and job satisfaction should be your practice’s daily priority goal. When the going gets tough, a team that plays well together will stay together. Allow time to celebrate your team and each individual in it. A happy work environment will shine to everyone coming in through your doors.

Remember individuals who feel a connection to the business and its services tend to be happier. Think less micromanaging,  and more empowerment.

7. Promote training and skill sharpening in your office

Cultivation of new skills can create self and professional growth in any job position.

Are individuals able to cross train? Can people help out in other jobs or positions when someone is sick? Are there rewards to learning and taking on more responsibilities? Learning should be part of your business, promoting people’s strengths in their respective areas, while strengthening other’s weaknesses with additional training.

“The purpose of learning is growth, and our minds, unlike our bodies, can continue growing as we continue to live.”
Mortimer Adler

Categories: Articles, Productivity

How Must an Employee Be Trained in HIPAA? | Small Business –


How Must an Employee Be Trained in HIPAA?

by Daniel Walker, Demand Media


Employees must be trained in HIPAA regulations.

Employees must be trained in HIPAA regulations.

Medical Transport image by JASON WINTER from

HIPAA stands for the Health Insurance Portability and Accountability Act of 1996, which governs the privacy of an individual’s medical records. Employees of businesses that may come into contact with records covered by HIPAA are required to undergo training on how to handle those records, and they can be held accountable for violations of the act.

Who is Affected

Training in HIPAA is mandatory for any employee that has access to patient data. This can include, but is not limited to, physicians, psychologists, researchers, dentists, nurses, opticians, insurance specialists, human resources officers and all employees who have access or manage personal data.

Read the Full Article: How Must an Employee Be Trained in HIPAA? | Small Business –



Ten Tips for Dealing with Difficult Coworkers

Friday, May 11, 2007Provided by AllBusiness

Is there someone in your workplace — a domineering manager, a difficult coworker, or maybe even a demanding client or customer — who drives you crazy? Are there people at your job who make you feel inadequate, unworthy, or just plain miserable?

Difficult people exist at work as in all facets of life, and they come in every variety. Dealing with these types is easier when the person is just generally obnoxious or when their behavior affects more than one person. But it is much tougher when they personally attack you or undermine your professional standing.

While you probably can’t change such a person, the good news is that by following these 10 tips for dealing with problem people in the workplace, you can avoid being their victim:

1. Identify problem people. Learn to recognize when a coworker is "toxic." Difficult people come in all shapes and sizes: Some talk constantly and never listen. Others must always have the last word. Some coworkers fail to keep commitments. Others criticize anything that they did not create themselves. A toxic coworker can take the form of a cut-you-downer, a two-faced backstabber, a gossip, a meddler, an instigator, or a nasty competitor.

Read the full article: Ten-Tips-for-Dealing-with-Difficult-Coworkers: Personal Finance News from Yahoo! Finance

Categories: Articles, Staff, Tips, Work Issues

New Study Proves Care by Podiatrists Dramatically Decreases Lower Limb Amputation


New Study Proves Care by Podiatrists Dramatically Decreases Lower Limb Amputation

Research Results Presented at APMA’s 98th Annual Scientific Meeting  

Bethesda, MD – Essential foot care by a podiatrist has now been statistically proven to reduce hospitalization and amputation in adults with diabetes, according to a first of its kind study conducted by Thomson Reuters. The study was presented by Vickie R. Driver, MS, DPM, during the American Podiatric Medical Association’s (APMA) 98th Annual Scientific Meeting in Seattle, July 15-18, 2010. The presentation highlighted the dramatic impact that even a single visit to a podiatrist can have on patients with diabetes.

The study, which was sponsored by APMA, examined records for more than 32,000 patients with diabetes, ages 18-64, and compared health and risk factors for those who had podiatry visits to those who did not. Researchers found that care by a podiatric physician (defined as at least one preventative, pre-ulcer visit) was associated with a nearly 29 percent lower risk of amputation and 24 percent lower risk of hospitalization. Diabetic foot complications are the leading cause of non-traumatic lower limb amputation in the U.S. 

“The results of this study undeniably support visits to a podiatrist being critical to a diabetes patient’s health and well being,” said APMA member Dr. Driver. “No longer can care by a podiatrist be considered optional for those with diabetes, and the earlier a podiatrist is included in the diabetes management team, the better quality of life for the patient and greater health-care cost savings for all involved. This study clearly allows us to understand both the clinical and economic value of a podiatrist, in the team approach to saving diabetic patients’ feet.”

The study was conducted using Thomson Reuters’ MarketScan Research Databases, which house fully integrated, de-identified health-care claims data extensively used by researchers to understand health economics and outcomes. Studies based on MarketScan data have been published in more than 130 peer-reviewed articles in the past five years.

Lead researcher Teresa Gibson, PhD, director of health outcomes research at Thomson Reuters said, “Using the MarketScan Databases, we statistically matched patients with diabetes and foot ulcers who had visited a podiatrist with like patients who had not. The analysis of the data indicates that patients who had seen a podiatrist in the year prior to the onset of a foot ulcer had significantly lower rates of any amputation and hospitalization than those who had not.”
For additional information on the study, visit

New Study Proves Care by Podiatrists Dramatically Decreases Lower Limb Amputation

Categories: Articles, Clinical

Should You Go to Work When You’re Sick?


Should You Go to Work When You’re Sick?

You might feel that you’re letting the team—or yourself—down, but there are lots of reasons not to work if you’re not up to it

byBruce Weinstein, PhD




You buy your morning paper, and the fellow who sells it to you sneezes into his hand—the same hand he then uses to give you your change. At the counter of your favorite coffee shop, the barista wipes her red and runny nose, grabs a paper cup, and prepares your grande latte. At the office, a colleague approaches you, shakes your hand, and then he complains about the nasty cold he has.

The next day, you awaken with a sore throat and feel progressively worse as the day goes on. You don’t sleep well that night, because somehow you’ve just come down with a cold. Hmm. Might there be a connection between the first series of events and the second?


Full Article: Should You Go to Work When You’re Sick?

Categories: Articles, Productivity

How to (Potentially) Resolve Big Issues That Make You Want to Quit Your Job



How to (Potentially) Resolve Big Issues That Make You Want to Quit Your Job

Adam DachisHow to (Potentially) Resolve Big Issues That Make You Want to Quit Your JobWe’re eager to be employed, especially in today’s job market, but some jobs turn out to have major problems that make our lives miserable—and make us want to quit. That said, quitting isn’t always the answer. Here’s what you can do to try and resolve those problems before jumping ship.

How to (Potentially) Resolve Big Issues That Make You Want to Quit Your Job Photo by National Assembly for Wales

A user over on StackExchange took a job that turned out to be terrible and wants out. Some people recommended methods for quitting, but others recommended other strategies first. One of the best answers came from StackExchange user Patrick. He gave some suggestions specific to type of job in question (programming), so here is a more generalized version:

  • Talk to your boss about the problems at hand.
  • Tell your boss how you’d like to see those problems resolved.
  • Ask your boss what it will take to get to that resolution.
  • If the answers do not make the situation better, then it’s probably time to consider finding another job.

Read the full article: How to (Potentially) Resolve Big Issues That Make You Want to Quit Your Job

Categories: Articles, Tips, Work Issues

13 Ways to Use Social Media in Business


13 Ways to Use Social Media in Business

by Julie Rains on 16 October 2010

Photo: ilovebutter / Flickr

“Many businesses are struggling to generate new ideas that will produce incremental sales or replace sales lost to once viable but now irrelevant products and services. According to a recent survey, businesses are having "difficulty incoming up with new ideas to grow their businesses" along with troubles in "marketing and positioning themselves in a highly competitive market." (See the Survey of Small Business Success Index [pdf], sponsored by Network Solutions, LLC and Center for Excellence in Service at the University of Maryland’s Smith School of Business.)

Some business owners and their management teams wonder if social media may somehow be useful in connecting with customers, bringing about boosts in either real-life foot traffic or online visitor volume, and stimulating sales. But they’re not sure if they want to take the time to explore and leverage Facebook, LinkedIn, Twitter, etc. Half of those surveyed say that social media took more time than expected; many were concerned that this approach could backfire, allowing customers to criticize the business via the internet.”

For the full article follow the link bellow:

13 Ways to Use Social Media in Business | www.Wise

Categories: Articles, Tips

How to Be a Superhero without Supernatural Abilities | Wise Bread


How to Be a Superhero without Supernatural Abilities

by Craig Ford on 8 September 2010 (2 comments)


Photo: Digital_Rampage / Flickr

I recently took a long drive to spend a short time with my 93 year-old-grandpa. Grandpa has always had an infectious smile where he happily shows off his pearly dentures. Grandpa loved his wife until death did them part. Mum told me how he used to help so much around the house when she was a baby. This was during a generation when dads didn’t typically do the whole baby thing. My grandpa was active in his local church and always participated in community activities. When I hear about everything he has accomplished in his 93 years, it reminds me that my grandpa is a hero.

A hero isn’t someone who wears a crimson cape. A hero is not someone who possesses super human strength. A hero is someone who consistently does amazing things over a lifetime.

My wife recently watched our three young kids for 10 days while I was traveling. Each day she wakes up ready to give up more of herself to give our kids an amazing childhood. She cleans, she scrubs, she changes, she washes. She does heroic activities on a daily basis.

I wish more "ordinary" people would be recognized for their extraordinary contribution to our lives. I wish that grandma and grandpa could get as much press time as our favorite TV celebrity. I wish we’d learn to idolize those who really make a difference instead of drooling over people with already inflated egos.

Case Study: Romance Movies

I sometimes wonder if I’ve ever seen a real romance movie. I’ve seen a lot of movies where two people meet each other, have strong feelings towards each other, overcome a difficulty, and then get married as the movie ends.

What does any of that have to do with love?

Love is not a strong feeling that we chase after and eventually capture.

Where is the Hollywood movie about the husband, wife, and kids? Where is the family that struggles to make ends meet as they touch base for just a moment to coordinate schedules? In their worn-down and fatigued resolve, they serve each other and honor each other.

That, dear friends, is where we find true love. That is where we witness a truly heroic marriage relationship.

Want to be extraordinary? Want to make a real contribution to this world?

10 ways to be a superhero without any supernatural abilities
  1. Think not only of your own interests, but also the interests of others.
  2. Find satisfaction in service.
  3. Determine life’s true priorities and fanatically pursue those things.
  4. Be a mentor and let someone mentor you.
  5. Do what you know is right even when you don’t feel like it.
  6. Ask people about their lives and be prepared to listen.
  7. Clean up the mess. Do what others think is beneath them.
  8. Apologize when you make a mistake.
  9. Be a principle-based person who does what is right, not just what is expedient or lucrative.
  10. Honor those who are older.

Do you have any heroes you want to honor? What are other ways to be a superhero without any supernatural abilities?


Categories: Articles, Motivation, Tips