10/11/2023    

RESPONSES/COMMENTS (NON-CLINICAL) - PART 1 A

RE: Krystexxa and Gout (Allen Jacobs, DPM)

From: John Cozzarelli, DPM

 

Dr. Jacobs' comments on Krystexxa's FDA indication are not accurate. He references that it is indicated for the treatment of hyperuricemia.

 

Direct from the  Patient Package Insert "INDICATIONS AND USAGE KRYSTEXXA® (pegloticase) is indicated, for the treatment of chronic gout in adult patients refractory to conventional therapy. Gout refractory to conventional therapy occurs in patients who have failed to normalize serum uric acid and whose signs and symptoms are inadequately controlled with xanthine oxidase inhibitors at the maximum medically appropriate dose or for whom these drugs are contraindicated.

 

Limitations of Use: KRYSTEXXA is not recommended for the treatment of asymptomatic hyperuricemia."

 

John Cozzarelli, DPM, Belleville, NJ 

Other messages in this thread:

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02/03/2025    

RESPONSES/COMMENTS (NON-CLINICAL) - PART 1 A

RE: Why Podiatry School Applicants Remain Low (Allen M. Jacobs, DPM)

From: Alan Sherman, DPM

 

Sometimes it is hardest to see that which is right in front of our faces, and particularly, if it has been growing there for some time. Allen Jacobs is right. While it is not the only factor, our devaluation of the name podiatry IS hurting applications to podiatry schools and general awareness as to what a podiatrist is. We should rethink this. Either we complete the process of becoming foot and ankle specialist MDs or we go back to using the term podiatrist and be the DPMs that we should be.  

 

I continue to strongly believe that we need dual track residency education - a surgery track for the minority of residents who are deemed to be suited to be specialty foot surgeons and a medicine/general track for the majority of residents who will practice general podiatric medicine and wound care. One will refer to the other to provide complete care of the foot and leg.

 

Alan Sherman, DPM, Boca Raton, FL 

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09/06/2023    

RESPONSES/COMMENTS (NON-CLINICAL) - PART 1 A

RE: The Increasing Podiatric Abandonment of “Routine Foot Care" (Lawrence Rubin, DPM)

From: Allen Jacobs, DPM 

 

Dr. Rubin notes that podiatrists, in deference to alternative healthcare providers, maintain the ability to provide "optimal preventive and therapeutic foot-care". Optimal care is more than selling diabetic shoes and toenail reduction. It is evaluation and treatment of or referral for treatment of neuropathy, vascular disease, dermatological disorders, gait abnormalities, and off-loading of areas predisposed to ulceration. It is active treatment of onychomycosis. The question you must ask yourself is whether or not you do indeed provide “optimal care" .

 

Allen Jacobs, DPM, St. Louis, MO