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December 14, 2011, Issue #447
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DISCUSSION
| | Send your comments, questions, responses, articles or case studies to Pedorthic Newswire at editor@pedorthicnewswire.com
Your emails will be reviewed by pedorthists and the editors of Pedorthic Newswire, and selected submissions will be posted in an upcoming issue for feedback from other readers. We reserve the right to edit submissions and responses. Please note:the deadline for all submissions and responses is 12 noon Eastern Standard Time on Tuesday for that week's issue.
NEW QUESTIONS
Question: We've been using Riecken's PQ for years, but with the changes to the original formula that have been made, our lab techs are finding it to be increasingly more difficult to use and predict the firmess/cushion of the finished product. I've tried QuikSil and Viscolas in the past, but don't like them because you can't glue to them. I also tried Acton, but it is difficult to keep in place. Does anyone have any other suggestions for alternative viscoelastic polymers to be used in foot orthoses? Thanks.
- Erick J. Janisse, C.O., C.Ped.
Question: A 56 y/o female presents with post surgical pressure under distal phalanx of 1st and 2nd toes as a result of fusion of 2nd toe and bunion surgery of right foot. Her left foot still has bunion and overlapping 2nd toe and pronates during propulsive phase of gait. She is very active and wants to go back to dancing, running and aerobics. The Rx calls for semi-rigid orthoses, medial arch support. We are making a full length device with cut outs under 1st and 2nd toes on right. The left will include medial posting and met pad. Rx did not address her footwear needs. She is currently wearing roomy shoes with double insoles in each to relieve her pain in her forefeet. The prescriber is open to our ideas. What are some additional ideas to help this patient?
- Robert S. Schwartz, C. Ped.
PREVIOUS QUESTIONS WITH RESPONSES
Question: At this time of year, we usually give a token of thanks to our prescriber's for the holiday season. Some years we give a gift food basket. In the past we gave shoe trees and other practical gifts. We are looking for new ideas that have proven to be moderately priced and memorable.
- Robert S. Schwartz, C. Ped.
Response: Regarding gifting as a show of appreciation: a donation to a charity such as Souls4Soles, American Diabetes Association, Arthritis Foundation or a local cause in the names of the physician or store can really make an impact when considering the amount spent.
- PNW Reader
Response: In response to Robert Schwartz's question as to holiday gifts, may I suggest this one: 1) In October send your marketing representative (perhaps yourself) to the practitioner's office and take a group photo of them and their staff. You can of course combine this with a marketing visit. 2) Using the printer of your choice (possibly a low cost internet company), print that office up a batch of photo holiday cards for them to mail out to their professional contacts. You would want to hand deliver them in early November. Altogether a turn-key solution to an annual problem they probably have to deal with on their own. I've never actually done this myself, but since it's my idea, I believe it to be a good one-as long as it doesn't cost too much.
- James Garner, Denton, TX
Response: You asked for ideas regarding small tokens of appreciation for referral sources. I used to get some really good quality hand lotion in quarts (from Verne Bintz or FootSmart if I remember correctly). I could get it labeled with "A special gift for you from your friends at "your store name here" in appreciation for all you do throughout the year." Our hand lotion was kept in front of the office staff and doctors all year long, and I would keep a gallon handy and offer to refill their bottles any time I was in their office. I also sold it in the store and would often end up with the doctors' staff coming in to buy it so they would have some at home.
-Chris Costantini, C.Ped.
Question: I have been in healthcare for over thirty years as a respiratory therapist and opened a HME company 10 years ago but I am new as a C.Ped. My question is, if a patient comes in and molds are made for custom orthotics yet does not take possession, does Medicare provide a way to cover your expense? Thanks
- Vincent Gamble, RRT, C.Ped.
Response: Here is an excerpt from the Medicare Claims Processing Manual that addresses this scenario.
20.3 - Artificial Limbs, Braces, and Other Custom Made Items Ordered But Not Furnished
(Rev. 1, 10-01-03)
B3-2005.3
A. Date of Incurred Expense
If a custom-made item was ordered but not furnished to a beneficiary because the individual died or because the order was canceled by the beneficiary or because the beneficiary's condition changed and the item was no longer reasonable and necessary or appropriate, payment can be made based on the supplier's expenses. (See subsection B for determination of the allowed amount.) In such cases, the expense is considered incurred on the date the beneficiary died or the date the supplier learned of the cancellation or that the item was no longer reasonable and necessary or appropriate for the beneficiary's condition. If the beneficiary died or the beneficiary's condition changed and the item was no longer reasonable and necessary or appropriate, payment can be made on either an assigned or unassigned claim. If the beneficiary, for any other reason, canceled the order, payment can be made to the supplier only.
B. Determination of Allowed Amount
The allowed amount is based on the services furnished and materials used, up to the date the supplier learned of the beneficiary's death or of the cancellation of the order or that the item was no longer reasonable and necessary or appropriate. The Durable Medical Equipment Regional Carrier (DMERC), carrier or intermediary, as appropriate, determines the services performed and the allowable amount appropriate in the particular situation. It takes into account any salvage value of the device to the supplier.
Where a supplier breaches an agreement to make a prosthesis, brace, or other custom-made device for a Medicare beneficiary, e.g., an unexcused failure to provide the article within the time specified in the contract, payment may not be made for any work or material expended on the item. Whether a particular supplier has lived up to its agreement, of course, depends on the facts in the individual case.
- Editor, Pedorthic Newswire
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SPONSOR NEWS
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HEALTH AND INDUSTRY
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The Orthotic and Prosthetic Alliance ("O&P Alliance") recently announced that the Board of Certification/Accreditation, International ("BOC") has accepted its invitation to become a member of the coalition. The invitation, issued after a unanimous vote of the four original members of the O&P Alliance, was extended after a year of BOC participation in the Alliance's public policy activities, including frequent conference calls and meetings. Full Text
Source: BOC USA
NIH Study Shows WalkAide Device by Hanger Orthopedic Group Significantly Improves Walking Ability In Children With Cerebral Palsy
There is new hope for children with a form of lower leg paralysis known as "foot drop" due to cerebral palsy (CP). At the 65th Annual Meeting of the American Academy of Cerebral Palsy Developmental Medicine on Saturday, October 15, researchers from the National Institutes of Health (NIH) presented a study that shows the WalkAide System successfully improves mobility by significantly increasing ankle control during walking in children with foot drop due to CP. This is the first study presenting the group results of a commercially-available foot drop stimulator in children with cerebral palsy. Full Text
Source: The Sacramento Bee
Orthopedics players slide after Medicare aims at "unnecessary" procedures
Share prices fizzled for a few orthopedic device makers in the days following news of the Centers for Medicare & Medicaid Services' pre-reimbursement review project. Last week CMS unveiled plans to launch a new pre-payment review program, asking doctors to provide up-front justification for certain medical equipment and types of claims, especially for orthopedic and cardiac devices. Full Text
Source: Mass Device
Highs of the well heeled
By: Susan Edmunds
They might look amazing but as every woman who has stumbled around in eight-inch stilettos knows, comfort is not something you generally associate with high heels. But in the Christmas party season, they are almost as ubiquitous as the silly earrings and Santa hats that start cropping up on your prematurely merry work colleagues' heads. The good news is that podiatrists say high heels may not be as much of a concern as some of us have been led to believe. Full Text
Source: New Zealand Herald
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DIABETES
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Night shift work has long been associated with a string of health problems such as sleep disorders and an increased risk of obesity, diabetes, and heart disease. In a new study, Harvard School of Public Health researchers quantified how much rotating shift work contributes to the risk of diabetes - which occurs in 1 in 12 American adults - and it's significant. Full Text
Source: The Boston Globe
Oral insulin is the stuff dreams are made of, especially in the world of medical research. A breakthrough will mean doing away with insulin injections all together which explains the flurry of activity in the field. CNBC-TV18's Archana Shukla reports on just how far this research has progressed. Another pin-prick, one the global diabetes research community has been keen to get rid of for over a decade but that painless insulin delivery system is still a long way off. Full Text
Researchers at Canada's McMaster University have found that brief high intensity workouts rapidly lower blood sugar levels in type 2 diabetics, offering a potential fix for patients who struggle to meet exercise guidelines. The small proof-of-principle study, conducted on eight diabetics, is reported in the December issue of the Journal of Applied Physiology. Dietary intake was carefully standardized and recorded, both before the baseline 24-hour blood sugar and muscle tissue mitochondrial capacity measures (from thigh muscle biopsies), and during the trial. Full Text
Source: Pro Health.com
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SPORTS AND FITNESS
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By: George Guerin
Many so-called fitness "gurus" will try to promote poor quality fitness gifts this holiday season to capitalize on the holiday retail market. These "gurus" deceive the public with expensive, ineffective gadgets. A quick browse of infomercials will lead you to many sites offering "miraculous" solutions to fat loss. Be wary of any fitness product that offers dramatic weight loss or immediate toned muscles just by using their product. Here are a few suggestions of fitness holiday gifts you might want to think twice about. Full Text
By: Jeanne Rose
Any parent knows that getting a child involved in youth sports can have a lot of positive benefits, both physically and mentally. It might be hard to get a child involved in sports at an early age, especially if he or she is not as physically active as other children. As a parent, there are a lot of reasons why you should get your child involved in youth sports, and the benefits definitely outweigh the risks. Full Text
Source: Yahoo Sports
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BECOMING CERTIFIED IN PEDORTHICS
| Pedorthics is a professional field covering the design, manufacture, modification and/or fit of footwear. Pedorthics encompasses shoes, orthoses and foot devices that prevent or alleviate foot problems caused by disease, overuse, injury or congenital defect. Certified Pedorthists work with patients and their footwear to conform to a doctor's footwear prescription as part of the patient's treatment
To earn certification in Pedorthics, you must take a pre-determined number of course hours in pedorthics and pass a certifying examination overseen by either The American Board for Certification in Orthotics, Prosthetics & Pedorthics® or Board for Certification/Accreditation, Int'l. Both the ABC and BOC are independent certification bodies that set standards for the profession and offer certifications that are recognized by the National Commission for Certifying Agencies.
More information, including FAQ's
The American Board for Certification in Orthotics, Prosthetics & Pedorthics information on the step-by-step process of becoming a certified pedorthist
Board of Certification/Accreditation International information on becoming a BOC Pedorthist.
For information on the Canadian certifying organization visit The Pedorthic Association of Canada.
ONGOING COURSES AND EDUCATIONAL OPPORTUNITIES FOR BECOMING CERTIFIED IN PEDORTHICS
The Robert M. Palmer M.D., Institute of Biomechanics "A Not-For-Profit School" has uniquely designed courses to provide pedorthic education for the retail, clinical or biomechanical knowledge seeking pedorthist. Course dates for Levels 1-3 in a variety of locations in the United States, Hong Kong, Mainland China and Korea are available. Click here to view a detailed calendar including dates and locations, information and pricing.
CFS Allied Health Education: Pedorthic Certification: Exam Review. This review is focused on supplying the student with the skills and knowledge needed to pass the ABC Certified Pedorthic exam by presenting exam-like questions, exploring possible answers, and discussing rationales for correct and incorrect answers. Contact CFS Allied Health Education at (918) 266-3678 or visit http://www.learnpedorthics.com/ for more information.
*ABC and The American Board for Certification in Orthotics and Prosthetics are registered trademarks of the The American Board for Certification in Orthotics and Prosthetics, Inc., which is not affiliated with CFS Allied Health Education and does not endorse this review.
ENESLOW PEDORTHIC INSTITUTE 1-on-1 or Group Tutoring Available; Eneslow Training & Tutoring Program, Individual and Small Group Program
WHO SHOULD COME:
Those who wish to prepare for the Certified Fitter of Therapeutic Shoes or the
Pedorthic Pre-Certification Course and Exam, also those who wish to improve their pedorthic, sales, retailing, biomechanics and business skills or those who need a refresher course;
SUBJECTS: PEDORTHICS - SALES -RETAIL MANAGEMENT
Pedorthic Assessment - Pedorthic Shoe Fitting - Pedorthic Solutions Footwear - Foot Orthotics
Foot Products - Ready-made - Custom Shoe Constructions and Designs
Shoe Modifications - Casting and Evaluation Techniques for Custom Shoes & Orthotics - Business and Practice Management Finance & Administration
Forecasting & Budgeting - Buying & Inventory Control Marketing & Advertising Professional Responsibility - Safety - Human Resources Biomechanics Pediatrics
Pathology of Diseases and Malalignments
HANDS-ON 1-ON-1 INSTRUCTION
$150/ hour for individual training
GROUP TRAINING
$125/hour per person for two or more participants in the same program at the same time
$100/hour per person for five or more participants in the same program at the same time
Fee: Two hour minimum
HANDS-ON 1-ON-1 TRAINING WITH ROBERT S. SCHWARTZ, CPED, OR DR. JUSTIN WERNICK, DPM, CPED
$250/hour for individual training &
$200/hour per person for group training
Added Value: An insider's look into the retail, pedorthic, sales, store operations, and business management of Eneslow.
ABC and BOC points may be applied for.
ENESLOW PEDORTHIC INSTITUTE, 470 Park Avenue South at 32nd Street, New York, NY 10016. Call for more info (212) 477-2300 (Ask for Sarah Goldberg, CPED) (212) 353-2876 Fax
email: epi@eneslow.com or visit http://eneslow.com/epi
Pro-Learn, LLC announces its new CAPE approved Pedorthic Pre-certification program
Pro-Learn's program is accredited by the Commission on Accreditation of Pedorthic Education (CAPE) to provide Levels 1, 2 and 3 of pedorthic pre-certification coursework required by ABC and BOC to become eligible to apply and sit for board examination. ProLearn utilizes the latest technology in Distance Learning and Virtual Classrooms. This is the same Distance Learning Program technology model used by advanced O & P schools used to deliver their curriculum. This allows maximum flexibility in our programs that gives the student choices that fit their busy lifestyle, level of experience and learning style. Programs vary from three-week, live classes to completing the coursework completely online (Experienced, advanced degree holding healthcare professionals only). Our staff and faculty is composed of degree holding healthcare professionals who are Pedorthists, Nurses, O & P, Professional Pedorthic Educators and Physicians.
Please visit www.pro-learn.com or email cmartin@pro-learn.com for more information to assist you or your staff in making a decision on the right option for you, your business, your family, and your lifestyle.
International School of Pedorthics is offering two classes per month every month until December 31st 2012.
January 1 2013 ISP will close it's doors to pre certification and focus on International pedorthic training and post education advanced training.
ISP offers accreditation manual service with Accreditation Champ
And our newline of pre fabricated foot products,we offer our on site lab training, and consulting.
ISP has had training in Saudi Arabia, Jamaica, Puerto Rico ,Canada, Mexico and other countries.
Call 702-449-0978 or the office at 702-449-0974
DECEMBER, 2011
The Robert M. Palmer M.D., Institute of Biomechanics "A Not-For-Profit School" has uniquely designed courses to provide pedorthic pre-certification education for the retail, clinical or biomechanical knowledge seeking pedorthist. Course dates for Levels 1-3 in a variety of locations in the United States, Hong Kong, Beijing, Mainland China and Korea are available. Level 1 & 3 performed online - Level 2 Dates: December 10 - 19, 2011 (Brea, California) - To Be Confirmed Soon
Condensed course hours available upon successful completion of pre-entrance exam. Scholarships Available - Please visit our website at www.rmpi.org or contact pam@rmpi.org - Phone: 765-557-7216.
Tuition includes Dormitory Housing and Transportation to and from the Indianapolis International Airport and the RMPI school (Elwood Course Location Only). Note: limited availability and by confirmed reservation only. Private Apartment Housing is also available by request and comparably priced within walking distance from the RMPI.
BECOME AN ABC THERAPEUTIC SHOE FITTER
For information on Aetrex Worldwide Therapeutic Shoe Fitter Courses, please contact the Aetrex Marketing Department at: marketing@aetrex.com.
Aetrex Worldwide Therapeutic Shoe Fitter Courses
Information on 2012 Aetrex Worldwide Therapeutic Shoe Fitter Courses will be coming soon.
2012 COURSES
GEORGIA - Foot Solutions Pedorthic Pre-Certification Course: Class Dates: February 13 - 24, 2012 May 14 - 25, 2012 August 6 - 17, 2012 November 5-16, 2012 Additional Classes to be Announced Foot Solutions is an accredited facility that holds classes four times per year. The training course will offer the pre-certification in Pedorthics certificate needed in all three levels to sit for the Certified Pedorthist Exam. Upon completing our course and successfully passing the competency tests and fulfilling the 1,000 hour "Clinical practice Requirement" students are eligible to sit for the ABC or BOC exam to earn their Pedorthic Certification (CPED Pedorthist). GEORGIA - Foot Solutions 1-Day C.Ped Pre- Exam Review Session. February 10, 2012 May 11, 2012 August 3, 2012 November 9, 2012 For Application and Fee Information Contact: Tracy Strickland - 1-866-338-2597 Ext: 206 tstrickland@footsolutions.com Betty Hubauer - 1-866-338-2597 Ext: 201 bhubauer@footsolutions.com Dr. William Faddock - 1-866-338-2597 Ext: 209 bfaddock@footsolutions.com The Foot Solutions Pedorthic Training Center facility is located at: 2359 Windy Hill Road, Suite 400, Marietta, GA 30067. |
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MONTHLY AND ONGOING
Riecken's Orthotic Labs - 800-331-8040; SAFIO Class, Second Friday of every month, at 5115 Oak Grove Rd., Evansville, IN. Four casting stands provided, limited to 8 students. Contact Darlene at the above number for more information.
Traveling Courses To Your Area sponsored by The Robert M. Palmer, M.D., Institute of Biomechanics, Inc. a not-for-profit pedorthic school. Please contact us to discuss your needs at phone: 765-557-7216. Email: pam@pedorthicbiomechanics.org or visit our Web site at: http://www.pedorthicbiomechanics.org/.
The Robert M. Palmer, M.D., Institute Of Biomechanics, Inc. a not-for-profit pedorthic school: Advanced Manufacturing - 50 Hour Course - Approved For 49.5 CME's for Pedorthists by the ABC. This course is designed to teach BAPFOL standards in manufacturing functional feet orthoses and provide an introduction to advanced biomechanical posting. Class size is limited to two students. For more information or to customize a course to meet your manufacturing educational needs, please email pam@rmpi.org or phone 765-557-7216. Tuition cost: $2K - includes housing and transportation to and from the airport and school.
The National Shoe Retailers Association is pleased to bring training and CEs directly to you, without the additional cost of travel, food, lodging, registration fees or lost work time. Our affordable WISER Sales Training DVD makes in-house training easy and there's now an online exam for Continuing Education credits from ABC and BOC.
WISER Sales Training provides quality training for new sales associates and re-motivates experienced sales staff. The DVD format makes it easy for employees to train at times convenient for them, and for employers to offer quality training without hiring outside trainers or taking the most experienced staff off the sales floor. ABC's Category 1 CEUs for WISER Sales Training total 21.75 credits (2.5 scientific, 19.25 business), good through year 2010. BOC's credit total is 20.34 (6.42 CPE Category 1, 13.92 Category 2).
Pricing for the program is as follows:
DVD, workbook and guide for trainers Members: $295 (Non-Members $395)
Additional Handbooks: $10 each
Online Test Members: $100 (Non-Members: $200)
For more information or to order, click http://www.nsra.org/wiser_intro.php?ad=pn
or call or email Veanne Lupia at 1-800-673-8446, ext. 7006, veannel@nsra.org.
Aetrex Worldwide Solutions for Foot Pathologies Seminars
Attendees will learn the importance of visual and digital analysis: pressure points, foot type, foot size and gait. Understanding activities and pathologies such as age, medical conditions and injuries (sports, diabetes, arthritis) will be discussed. Common foot pathologies will be reviewed, including methods of treatment utilizing state of the art technology. A hands-on workshop is also included. ABC - 7.75 Scientific Credits; BOC - 8.25
For information on Aetrex Worldwide Solutions for Foot Pathologies Seminars, please contact the Aetrex Marketing Department at: marketing@aetrex.com.
Information on 2012 Aetrex Worldwide Solutions for Foot Pathologies Seminars will be coming soon.
2012 COURSES
NATIONAL PEDORTHIC SERVICES - EDUCATIONAL COURSE
April 27-29, 2012 & September 21-23, 2012
National Pedorthic Services, Milwaukee WI.
Hands-on Custom Foot Orthosis Fabrication Course -18.25 ABC - CEPUs
Contact: Nora Holborow at (414)438-6662 or visit www.npsfoot.com
E-mail: nholborow@npsfoot.com
May 18-20, 2012 & August 24-26, 2012
National Pedorthic Services, Milwaukee WI.
A Hands-On Approach to Footwear Modifications - 19.25 ABC - CEPUs
Contact: Nora Holborow at (414)438-6662 or visit www.npsfoot.com
E-mail: nholborow@npsfoot.com
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CLASSIFIEDS
| Seeking to Hire: Wellness Life Systems, a leading national diabetic shoe provider, is seeking highly motivated Certified Pedorthists with excellent communication skills to join our team. We have positions available in many regions across the country. ACHC accredited, inserts created in our own orthotic lab. This unique opportunity allows the right individuals to: Get back to patient care! Perform in-home diabetic foot evaluations, shoe fittings, and deliveries in your local area; Manage your own territory and set your own schedule. Call Frank, 816-268-6857, with questions, or send resumes to jobs@wellnesslifesystems.com Ongoing
Seeking to Hire: Midwest Medical Services, a national provider of DME products, is seeking to hire Certified Pedorthists. We currently have multiple opportunities in all regions across the United States. Position would entail performing in-home evaluation and fittings, sale of diabetic supplies and pain management DME, managing your territory, and providing excellent patient care. Must be ambitious, well organized, and dependable. At Midwest Medical Services, we strive to provide the best patient care possible and support those who provide great care in our name. Call Kim, (816) 718-6946, with questions and/or email resumes to hr@midwestmedservices.com. We look forward to hearing from you. Ongoing
Seeking to Hire: Since our company's founding in 1923, Yale Surgical Company has been dedicated to meeting the Orthotic, Prosthetic and Pedorthic needs of Connecticut. We are beginning a new family generation of practitioners and are eager to meet the continuing need in our area. We currently have multiple opportunities for C. Ped., CO, CP, CPO and Orthotic/Prosthetic Techs in our New Haven office. We would love to speak with you to discuss your goals and future plans. Please feel free to look at our website, http://www.yalesurgical.com/ and email your resume to info@yalesurgical.com at your earliest convenience. Comp. salary, 401k etc. - Edward N. Kaufman Ongoing
Classifieds will run for 90 days unless we are informed that the position has been filled. Thank you! To place a classified ad, please email editor@pedorthicnewswire.com |
STAFF
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Editorial/Design/Layout: Aetrex Marketing Department |
ADVISORY BOARD
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Robert Schwartz, C. Ped. | |
John Mishasek, BOC Pedorthist, C. Ped. | | Erick Janisse,C.O., C.Ped. | | Jerome S. Klein, C.O., C. Ped. | | Edith James | | Rick E. Sevier BS Ed., C. Ped., BOC Ped. |
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ADDITIONAL COMMENTS
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Our goal at Pedorthic Newswire is to generate an active online exchange of ideas among those interested in pedorthics. Please send articles, questions, responses and courses listings to editor@pedorthicnewswire.com.
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General Disclaimer. Acceptance and publication by this newsletter of questions, comments, news stories, or case studies does not imply endorsement or approval by Aetrex Worldwide, Inc. or Foot.com of the company, product, content, or ideas expressed in this newsletter, which are the sole responsibility of the respective authors. Neither Aetrex Worldwide, Inc. nor Foot.com, nor any of its subsidiaries or affiliate entities, agents, employees, or subcontractors shall be liable for any direct, indirect, special, incidental, consequential, punitive, or exemplary damages, including lost profits (even if we are advised of the possibility) arising in any way from the information contained in this newsletter.
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