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February 15, 2012, Issue #456
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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: When billing Medicare for diabetic shoes is the initial visit for evaluation and sizing considered the date of service or (if ordered) the day the shoes are delivered to the patient?
- Vincent Gamble, RRT, C.Ped.
Question: I am part of the Medicare Therapeutic Footwear Program for diabetics. The processing company I'm currently using is changing how they do business making it very difficult to stay with them. Therefore, I'm looking for a software program I can use in my store that:
- Can access Medicare to verify eligibility of my diabetic customer.
- Can submit the sale to Medicare for payment.
- Can access secondary insurance companies (e.g. Blue Cross/Blue Shield) to verify eligibility.
- Can submit the sale to the secondary insurance company for payment.
Does anyone know of any software package that does all of the above or can name a company that will do all of the above and only collect their fee when I receive complete payment from Medicare and the secondary insurance companies. Thank you.
- Tomm Kleyensteuber, Owner Foot Solutions, Peoria, AZ
PREVIOUS QUESTION WITH RESPONSES
Question: This question is for those independent footwear retailers, who have undergone an onsite survey and also are looking to maintain accreditation with the ABCOP. I would like to hear from those that have footwear retail as their primary source of business. While it's imperative we have guidelines we must maintain and follow, I think there are some expectations or rules that can be unreasonable for an independent retailer. At times it seems like even with all our ducks in a row the inspector ends up looking for the proverbial "Red Herring."
Example: Private Area solely dedicated for evaluations.
Disposal container for sharp objects.
Fire drills and escape plans.
State compensation laws postings.
Is it possible that their expectations or the rules in place can be a little unreasonable? I'm primarily asking this of independent retailers without the resources of a full scale lab or school on their site. I would like to hear if some of these rules have an adverse affect or demand on your business and time.
- Luis Altoro, C.Ped. and Proprietor
Response: ABC's Response: Every patient care facility, regardless of size, must have policies and procedures in place which address areas such as emergency preparedness, compliance with state laws and patient's privacy. ABC's mission is to establish and promote the highest standards of organizational and clinical performance which is necessary for providing quality patient care. Compliance with ABC and Medicare standards ensures that a facility is demonstrating an exceptional level of patient care.
Mr. Altoro's Concern: Private Area solely dedicated for evaluations.
ABC's Comment: Private areas are necessary to preserve patient privacy and dignity while assessing a medical condition. It can be an area divided from the waiting room with a curtain or other movable divider, where conversations will not be overheard. Private areas are not only addressed in ABC's accreditation standards, they are also a requirement of Medicare (see Medicare's Quality Standards).
Mr. Altoro's Concern: Disposal container for sharp objects.
ABC's Comment: Many Pedorthic patients have also been diagnosed with diabetes. In recognition of this, ABC standards require that facilities have a way to dispose of hazardous materials such as items that may have come in contact with body fluids from open sores/wounds. This can be as simple as red bags that are routinely dropped off at appropriate centers for disposal.
Mr. Altoro's Concern: Fire drills and escape plans.
ABC's Comment: Fire, disaster and emergency preparedness plans are essential to any business regardless of their size. Medicare's Quality Standards are very clear - you must have a contingency plan that allows the facility to respond to any emergency or disaster. Medicare expects that you will be able to provide beneficiary services regardless of the situation. ABC verifies the compliance of this requirement through documented drills which should be performed on an annual basis. Documented drills show that your facility is prepared and that you have identified areas that need to be addressed. For example, your fire drill would document where the designated meeting area is located, who does the head count, and who did the office sweep to make sure no one was left behind. Drills show that you have the ability to provide patient care regardless of what happens.
Mr. Altoro's Concern: State compensation laws postings.
ABC's Comment: Every business must comply with federal, state and local laws.
The ABC strives to provide its customers with the tools they need to successfully comply with ABC and Medicare standards. We also recognize that being an independent retailer has some challenges and that your time is valuable. Therefore, ABC has created several easy-to-use resources to help guide facilities through the accreditation process. These resources are available on the Accreditation home page of the ABC website.
- Chrissy Heckenberg , Director of Facility Accreditation. American Board for Certification in Orthotics, Prosthetics
PREVIOUS QUESTION WITHOUT RESPONSES Question: Pedorthists have always seen a lack of compliance in the Diabetic population. The recent CDC article states that Diabetes amputations are falling dramatically. The article states that foot and leg amputations fell after 1996, and mentions that it was also the decade when Medicare began paying for blood sugar monitoring and for protective shoes and other medical devices for elderly diabetics.
What are you doing as an important team member in teaching your patients compliance and reducing the amount of amputations?
-PNW Reader
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HEALTH AND INDUSTRY
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Let's Move! turns 2 today, USDA Secretary Vilsack sees improvementLet's Move! - the Obama administration's campaign to fight childhood obesity - celebrates its second birthday today and according to Tom Vilsack, Secretary of the U.S. Department of Agriculture, the campaign is doing what it's supposed to do. "For the first time in a long time, we did not see a rise in obesity rates," Vilsack told HealthPop. The campaign kicked off two years ago in the hopes of raising a future generation of American children who eat healthier and exercise more than their predecessors. "The physical and emotional health of an entire generation, and the economic health and security of our nation is at stake," First Lady Michelle Obama said at the program's launch on February 9, 2010. Full TextSource: CBS News Five steps to healthier feetYour foot is a complex feat of engineering and a critical element in how you stand, walk and balance. Of all your many body parts, your feet are likely to be the most neglected. One in four people over the age of 45 have foot pain, and approximately one in six have ankle problems. And foot pain can become a much larger, whole-body health issue. Two-thirds of those with chronic foot pain say their foot issue has created some sort of disability elsewhere - decreasing balance, increasing osteoarthritis in the knees and hips, or preventing them from starting or maintaining a healthy walking program. Full TextSource: Shore News Today4.5 million Americans over 50 have artificial knees: What's behind high rates?More than 4 million Americans over 50 have artificial knees, according to a new study. That's almost 1 in 20 Americans walking around with the help of metal or plastic. "These data are sobering because we didn't know what an army of people we've created over the last decade," said study author Elena Losina, co-director of the Orthopedics and Arthritis Center for Outcomes Research at Harvard's Brigham and Women's Hospital. "The numbers will only increase, based on current trends." Losina's study is the first national estimate to show the aging toll on American's knees, especially in baby boomers. The estimate is important because it shows that a big portion of the population might need future knee-related care, said Dr. Daniel Berry, president of the American Academy of Orthopedic Surgeons and chairman of orthopedic surgery at the Mayo Clinic in Rochester, Minn. He was not involved in the research. Full TextSource: CBS NEWS
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DIABETES
| Importance of Foot care for Diabetics: Regular checks are Vital for healthy living
Our feet are our foundation, and it's important to take good care of them. But good foot care is even more crucial for a diabetic. Diabetes isn't just a blood sugar problem; the disease affects the entire body, and that includes nerves and circulation to the feet. However, foot problems often go unnoticed because diabetics tend to lose feeling in the feet over time. Dr. Michael Nirenberg, a podiatrist at Friendly Foot Care in Crown Point, sees this problem rather frequently and strongly recommends that diabetics see a podiatrist once a year. A podiatrist will examine the foot and check the strength of the pulse in the foot. A pulse that is too strong or not strong enough can be an early indicator of circulation problems. Full TextSource: NWI TimesBy: Nanci Hellmich
Paula Deen, the queen of Southern cuisine, created a hoopla last month when she revealed that she has type 2 diabetes and has known about it for three years. Some people were troubled that even after she was diagnosed, she continued to cook high-fat, high-sugar, high-calorie recipes on her TV show - foods that people with the disease are advised to consume infrequently. Deen said she eats such foods only in moderation. Meanwhile, Alec Baldwin told Entertainment Tonight he lost 30 pounds since being diagnosed with prediabetes in May. He says he gave up sugar, which was a real "killer" for him. So what's the best diet for people with diabetes? There is no one diet, whether it's a Mediterranean, low-carb or low-fat diet, that is consistently better at helping people manage diabetes, says Stephanie Dunbar, director of nutrition and medical affairs for the American Diabetes Association. She is one of the authors of a new review of the research on diabetes diets published in February's Diabetes Care. Full TextSource: USA Today
By: Ranjani Rajendra
When 52-year-old Reena Gupta was diagnosed with diabetes she was devastated. You might wonder why considering most of India's population deals with this chronic ailment? But for Reena, this meant rearranging her life extensively. Long hours at work, travel and an active social life were the norm - not to mention a love for all things sweet and fried. At this juncture of her life when her career demanded most of her attention, diabetes was not something she was prepared for. Not only did this mean that she now had to be extremely careful with what she ate, she also couldn't handle the stress of a hectic schedule as well as before thanks to the exhaustion and constant weakness. Full TextSource: Post Noon
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SPORTS AND FITNESS
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Avoid the afternoon stress-eating bingeBy: Amanda Enayat That foods can soothe, reduce anxiety and boost your mood is well known to anyone who has kept a vise grip on a pint of Chunky Monkey at midnight or dived into the deep end of a party pack of chips at the end of a day gone awry. In a perverse way, ice cream and chips do represent a fast-track to happiness. A load of simple carbohydrates provides an instant lift because carbohydrates trigger the rapid release of serotonin, the mood-elevating "happy hormone." When the brain produces serotonin, we experience a calming effect. But the problem with a simple carb overload is that it sets off a physiological chain reaction that wreaks havoc on the body. It also taxes the adrenals, suppresses the immune system for hours after intake and generally leaves a person feeling sluggish and off-kilter. And then there's the sugar crash. Full TextSource: CNN Health Injured boomers beware: Know when to see doctorIt happened to nurse Jane Byron years after an in-line skating fall, business owner Haralee Weintraub while doing "men's" push-ups, and avid cyclist Gene Wilberg while lifting a heavy box. "It" is that pop, strain or suddenly swollen joint that reminds active older adults they aren't as young as they'd like to think. Even among the fittest baby boomers, aging bodies just aren't as nimble as young ones, and they're more prone to minor damage that can turn serious if ignored or denied. But not every twist or turn needs medical attention, and knowing when it's OK to self-treat pays off in the long run, in dollars and in health. Costly knee replacements have more than tripled in people aged 45-64 in recent years and a study released last week found that nearly 1 in 20 Americans older than 50 have these artificial joints. But active boomers can avoid that kind of drastic treatment by properly managing aches and pains. Full Text Source: USA Today
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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
Eneslow Pedorthic Pre-Certification Training Course August 6, 2012 - August 19, 2012
In cooperation with ABC requirements, Eneslow Pedorthic Institute (EPI) is offering the three-level competency training course for aspiring CPEDS. To provide maximum benefit in a minimum of time, a portion of the level one curriculum will be administered through a distance learning program that includes required readings, interactive CD's and testing of all mandatory topics. Upon passing the level one test, students will attend the remainder of the pedorthic pre-certification course at Eneslow Pedorthic Institute for 2 weeks from August 6th to August 19th, 2012. This class completes required education prerequisite to sit for national certification exam. It does not satisfy the requirement of 1000 documented hours of field experience. Please contact Sarah Goldberg at epi@eneslow.com or 212-477-2300 x211 for more information.
To purchase materials for the course, please click here.
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
March 6, 2012 - Teaneck NJ Aetrex Shoe Fitting Course
Please call 1-800-526-2739 if interested in this one day course.
Information on 2012 Aetrex Worldwide Therapeutic Shoe Fitter Courses will be coming soon.
2012 COURSES
2012 FOOT SOLUTIONS PEDORTHIC PRE-CERTIFICATION COURSE SCHEDULE & INFORMATION Foot Solutions is an accredited facility that holds classes four times per year. The course will offer the certificate needed in all three levels so that you qualify to sit for the C. Ped. Exam. The facility is located at 2359 Windy Hill Road, Suite 400, Marietta, GA 30067 February 13 - February 24 May 11 - 1 Day Cram Session (free with attendance of pre-cert class) May 14 - May 25 August 3 - 1 Day Cram Session (free with attendance of pre-cert class) August 6 - August 17 October 8 - October 19 November 9 - 1 Day Cram Session (free with attendance of pre-cert class) 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 |
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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
National Pedorthic Services, Milwaukee WI.
Hands-on Custom Foot Orthosis Fabrication Course - 18.25 CEPUs
Contact: Nora Holborow at (414)438-6662 or visit www.npsfoot.com
E-mail: nholborow@npsfoot.com
May 18-20, 2012
National Pedorthic Services, Milwaukee, WI
A Hands-on Approach to Footwear Modifications - 19.25 CEPU's
Contact: Nora Holborow at (414)438-6662 or visit www.npsfoot.com
E-mail: nholborow@npsfoot.com
August 24-26, 2012
National Pedorthic Services, Milwaukee WI
A Hands-on Approach to Footwear Modifications - 19.25 CEPU's
Contact: Nora Holborow at (414)438-6662 or visit www.npsfoot.com
E-mail: nholborow@npsfoot.com
September 21-23, 2012
National Pedorthis Services, Milwaukee, WI
Hands-on Custom Foot Orthosis Fabrication Course - 18.25 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: An experienced, dynamic, patient oriented Certified Pedorthist.
Excellent opportunity to run and develop existing pedorthic department within a successful Podiatric practice in beautiful San Luis Obispo, California. The practitioner will provide patient care in two locations and be responsible for onsite fabrication. The candidate should have three years of clinical pedorthic experience. Undergraduate or graduate degree is a plus. The right practitioner has great opportunity for career and financial growth. Excellent compensation, benefits and relocation allowance provided.
Forward resume to: drb@sanluispodiatrygroup.com: please include letter of interest. Highlight clinical experience and provide references. www.sanluispodiatrygroup.com Ongoing.
Seeking to Hire: Seattle, WA. Looking to hire a Certified Pedorthists / Orthotists or Certified Fitter passionate about patient care. This is a part time position, with March and April almost full time but flexible scheduling. There will also be some other follow up throughout remainder of 2012. You can also work for other company while helping us with this time intensive few months. Requirements: experience with the care and fitting of the diabetic foot, excellent interpersonal skills, high level of organization, motivated, Please send inquires and/or resume to unitedhomeh@yahoo.com, fax 540-774-5071. Ongoing
Seeking to Hire: NEW! Coastal Healthcare Solutions is a Florida based Diabetic Supply company which also specializes in diabetic shoes. We are interested in having contact with fitters in all 50 states to perform in-home diabetic foot evaluations, shoe fittings and deliveries. We have immediate openings in the following states: Hammond Indiana, Dale Texas, Demoines Iowa and Athens Illinois. Call Dan at 321-431-7349, with questions, or send resumes to dkenna@healthsafedme.com Ongoing
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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