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09/18/2024 Rod Tomczak, DPM, MD, EdD
“Why I Chose an NP for My Care“ National Commercial (Allen Jacobs, DPM)
Allen Jacob’s letter on why one chooses an NP for care piqued my curiosity, but in a tangential direction. I began to wonder about the APMA Seals of Acceptance/Approval. The APMA states it desires to provide information for podiatric physicians, their patients and the general public to ensure they can make the best possible decisions regarding foot health. On their website the APMA states the Seal is not an endorsement. Shakespeare said it best, “A rose by any other name is still a rose.”
There is a committee that determines which product is fit to use the seal/logo of approval. The members of the committee are confidential according to the APMA website. I understand. God forbid an approved treatment for bromhidrosis does not work for someone. This NSA committee is protected from retribution and the need for Witness Protection, which can get very expensive. The APMA website stresses safety and utility and the need to submit various documents to the APMA proving efficacy. They do not mention if there is a fee for evaluation of a revolutionary flip-flop seeking the Seal of Acceptance or a fee to evaluate those seeking a Seal of Acceptance for a foot deodorant. I wonder if there is a fee. No I don’t.
The myriad of approved APMA products and medications that are recommended for public consumption or use got me thinking and I began to wonder if other subspecialties in medicine remove the conundrum of picking the correct shoe suitable for both Tango and Waltz like the APMA does or is the public left to sit in the Walmart? parking lot paralyzed by options. To satisfy my curiosity I reached out to some other subspecialties. I got in touch with the colo-rectal surgeons and inquired if they recommended a particular brand of toilet tissue. They said they weren’t interested in such crap. But the encounter did stimulate a chuckle when I thought about what their seal and logo would look like. I asked the neurosurgeons’ group if they had any thoughts about what hat helps prevent cephalgia. Before she hung up she told me, “One that’s not too tight.” Good advice on what not to do.
Some of us remember the Earth Shoe craze of the early 1970’s. We are the ones too old to vote in APMA opinion polls. Podiatrists were quick to jump on board the phenomenon or condemn the concept. Both based their scientific opinions on the “just because” and an article in the New York Times. A secret Danish committee espoused the value.
This was back in the day when if you drove up to your office and saw a CBS 60 Minutes truck parked out front, you knew it was not going to be a good day. Those of us APMA Life Members who can’t vote remember 60 Minutes as a news magazine similar to Consumer Reports? which rates products for value and efficacy, exposing the fraudulent. When rating automobile safety, they test the cars and report what they found. They take no money from manufacturers or individuals to issue a seal. Years ago they were not afraid to pan podiatry because of an inferior education and lack of training.
Over the years, they have become friendlier toward podiatry informing the public that we prescribe orthotics, treat ingrown nails, provide diabetic foot care and perform surgical procedures such as bunionectomies and hammertoe repair. Right off the APMA website. Find me an NP. Thank God for us senior members who are not afraid to speak up about what we see but cannot vote on. Barry Block offers us a venue to alert the profession.
Rod Tomczak, DPM, MD, EdD, Columbus, OH
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