The importance of independent medical providers cannot be stressed enough.
For everyone that is frustrated in the rising cost of health care, know that your independent provider is too. A recent study showed that hospitals and hospital-owned physicians are the real sources of the skyrocketing cost of health care. Most people are not aware that physicians that are owned by the hospital are paid more than independent providers; as a matter of fact, this higher rate costs Medicare and Medicare patients over $750 million each year. Independent physicians and services were responsible for a 6% increase in health care costs while hospital-owned physicians and services increased 25%.
Are you seeing the best possible provider?
Did you know that most hospital systems require providers to internally refer and may be terminated if they don't comply? Sadly, these policies have recently made news in the Omaha area; Children's Hospital appears to have selected a less qualified surgeon due to internal referrals.
Choose wisely when you select your physician; ask questions when you are referred. Is this provider the best or just in the hospital system? You have the right to choose, and that choice has a big effect on the outcome and price of your care.
Why are we different?
We are proud to say that the providers at the Foot and Ankle Center of Nebraska and Iowa and FAST Physical Therapy have earned our referrals through hard work, unmatched skills, compassion, and dedication. We are always concerned about controlling costs and providing the most cost-effective therapies. We also use the most advanced therapies to improve outcomes and speed recovery.
Come see the difference, set-up an appointment with one of our providers by calling 402-391-7575.
LB 37 at Nebraska Unicameral Legislature
The cold weather did not keep Dr. Greenhagen from traveling to Lincoln, Nebraska on January 30, 2019 to speak on behalf of the Nebraska Podiatric Medical Association concerning LB 37. LB 37 is a bill being introduced to change the Podiatry Practice Act. The change would impact podiatry in Nebraska to allow and authorize a physician assistant to assist a podiatrist. The bill is being sponsored by Senator Hilkemann.
The bill was introduced by Senator Hilkemann to a committee of 10 senators on Wednesday, January 30. Dr. Greenhagen was asked by Senator Hilkemann to speak on his knowledge and expertise in the area of podiatric care. Dr. Greenhagen provided data as to why a physician assistant would be helpful in growing podiatry care in rural Nebraska and helping to continue to provide exceptional podiatry care in current podiatric practices and hospitals.
When a bill is introduced to Legislature, the bill must receive a public hearing by a committee. The information Dr Greenhagen provided was transcribed and recorded to become a part of the official committee records. To view the official site of the Nebraska Unicameral Legislature, please click on the link below.
What happens next?
The committee now has three options to take, they can:
- Vote to send the bill to general file with or without amendments
- Indefinitely postpone the bill
- Take no action on it
The surgeons at Foot and Ankle Center of Nebraska and Iowa will continue to follow the progress of this bill. LB 37 will hopefully make its way to the Legislature floor and find its way to the desk of the Governor for signing.
What can you do?
If you support LB 37 you can contact your Senator. Click the link, you can find your Senator by name or district number at:
Drs. Matthew McCabe and Robert Greenhagen recently published on an innovative approach to healing lower extremity ulcerations. The recent publication was in Podiatry Management and is pending submission to the Journal of the American Podiatric Medical Association (JAPMA).
You can read the Podiatry Management article here (WARNING: Graphic surgical images are present in the article)
Subtalar arthroscopy is increasing in popularity due to its less invasive nature with respect to open procedures and expanded indications. It may be used as a diagnostic or treatment procedure, or both. The surgery is performed through small incisions, by using a viewing instrument called an arthroscope. An arthroscope is a thin long tube with a camera attached, which helps your surgeon clearly view the surgical site on a monitor. The subtalar joint is a complex joint located below the ankle joint and is formed by the union of the heel (calcaneus) and the talus (ankle) bone. The subtalar joint allows side to side (inversion and eversion) movement of the foot. This joint can be injured with a sprain or fracture of the talus or calcaneus bones, causing pain and instability.
Because arthroscopy is less-invasive and traumatic than traditional surgery, it reduces the risk of infection and swelling and allows for significantly speedier healing and recovery. Most arthroscopic surgeries of the foot and ankle are performed on a same-day, outpatient basis.
Very few surgeons offer this treatment option due to the complexity of the procedure. The surgeons at the Foot and Ankle Center of Nebraska and Iowa are pioneers of subtalar arthroscopy and its emerging uses. The Foot and Ankle of Nebraska and Iowa's research on the use of subtalar arthroscopy have been published in the Journal of the American Podiatric Medical Association (JAPMA). You can also watch Drs. Robert Greenhagen and James Whelan discuss their research and the use of subtalar arthroscopy on a webinar for the American Society of Podiatric Surgeons. Click the ASPS logo to watch the webinar.
If you would like to see a video on how subtalar stability is assessed during surgery, click the image below.
For more information, call for a consultation with our podiatric surgeons call Foot and Ankle Center of Nebraska and Iowa today at 402-391-7575.
‘Tis the season for cold weather and ice related falls. When a person falls, the likely hood of an injury to the ankle is increased because the ankle can roll, twist, or turn in an awkward way.
If you fall and experience ankle pain it is best to seek medical advice as soon as possible. Take the fall seriously. Even if you are able to walk on the ankle, there may be an underlying problem. Ankle pain may be a sign of an ankle sprain or fracture. Continued use of the injured ankle, without medical advice, could lead to more complicated issues such as prolonged healing, arthritis, instability, and chronic pain. Instability is persistent discomfort and giving way of ankle due to stretched out or torn ligaments.
Ankle sprains are common and often times overlooked. However, not treating a sprained or injured ankle can lead to long term damage. For the best outcome from the injury, seek medical attention in a timely manner. Our team at the Foot and Ankle Center of Nebraska and Iowa can help get you moving after a fall.
If you are unable to obtain medical advice from a podiatrist, emergency room or urgent care facility, immediately after the fall, then rest your injured ankle. Try to limit body weight to the injury and use the “PRICE” method (protect, rest, ice, compression, elevation) until medical attention can be sought out.
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