Scottsdale Neuropathy Institute

Dr. Richard Jacoby Named one of PHOENIX Magazine’s 2010 Top Doctors

Blog Author — Thu, 08 Apr 2010 06:45:47 GMT

Selected Physicians Are Nominated Through Industry Peer-Review Surveys

April 2010 — Phoenix, AZ: Dr. Richard Jacoby, DPM, Medical Director of the Scottsdale Neuropathy Institute and Valley Foot Surgeons, has been named by PHOENIX Magazine as one of its Top Doctors for 2010. The magazine’s 340-page April edition identifies 689 top physicians in 44 specialties, including podiatrists, medical doctors, osteopathic doctors, and naturopathic doctors.

The Top Doctors list is in its 16th year. The selection process starts over each year with random surveys of 5,000 Valley physicians, asking doctors to nominate peers they believe are the best in their fields.

Once the surveys are tabulated, PHOENIX Magazine verifies each doctor’s contact information. They are cross-checked with Arizona’s medical boards to ensure that each physician has maintained an excellent record.

“I am honored to be selected by PHOENIX Magazine for this particular distinction,” Jacoby said. “It is even more rewarding because the process begins with a nomination from my fellow medical professionals and colleagues.”

The April 2010 issue is available at newsstands Valleywide. Dr. Jacoby is presented in a Physician Profile and a directory listing. A two-page Q/A feature discusses his expertise in the highly specialized Dellon Decompression surgical technique to reduce amputations in patients suffering from diabetic neuropathy. Dr. Jacoby is widely regarded by his peers as one of the top podiatrists and foot and ankle surgeons in the U.S., and is one of only 350 doctors worldwide to have trained with Dr. A. Lee Dellon at the Dellon Institutes for Peripheral Nerve Surgery. He has successfully treated more than 700 diabetic patients facing lower limb amputations in the last eight years. With a goal of reducing unnecessary amputations, Dr. Jacoby has been researching and utilizing new methods of treating patients who suffer in the lower extremity.

Dr. Jacoby is also one of five doctor profiles featured on the magazine’s website:

www.phoenixmag.com/top-docs/articles/201004/richard-jacoby--d-p-m-/

Dr. Richard Jacoby to Address Nearly 1,000 Physicians at International Congress XXIII Endovascular Interventions—March 2, 2010

Blog Author — Tue, 23 Feb 2010 01:39:26 GMT

Preliminary Findings of Breakthrough Study Show Promising Link Between Reduced Blood Flow and Amputations

Phoenix, AZ, February 19, 2010 — Dr. Richard Jacoby, DPM, of the Scottsdale Neuropathy Institute, will present the preliminary findings of a ground breaking blood flow study to the International Congress XXIII during its annual meeting February 28 through March 4 at Scottsdale’s Phoenician Resort.

‘The Neurovascular Evaluation of the Triple Nerve Release of the Lower Extremities,’ is expected to provide a greater understanding of the impact of blood flow in diabetic neuropathy. The study is a joint collaboration with the Arizona Heart Institute (AHI), with Dr. Jacoby conducting the study and Dr. Venkatesh G. Ramaiah, MD, FACS, of the Arizona Heart Institute, evaluating the blood flow rates. This is the first formal study conducted that investigates the link between neuropathy and blood flow.

Richard P. Jacoby, DPM, is nationally recognized as one of the top podiatrists and foot & ankle surgeons in the U.S., and is one of only 350 doctors worldwide to have trained with Dr. A. Lee Dellon at the Dellon Institutes for Peripheral Nerve Surgery. He has successfully treated more than 700 diabetic patients facing lower limb amputations in the last eight years. Venkatesh G. Ramaiah, MD, FACS, is a vascular surgeon and AHI’s Director of Peripheral Vascular and Endovascular Research. “Blood flow is the missing link to why patients are losing legs,” Jacoby said. “This study is the first step to solving the riddle of why people with diabetes end up with amputations.”

Dr. Jacoby will present the study’s preliminary results in diabetic patients to an audience of 1,000 physicians at 10 a.m., on March 2, 2010. The study’s preliminary outlook is promising, showing that recovery is dramatic for patients who undergo the Dellon Decompression triple nerve release surgical procedure. These surgical patients experience significant improvement and increased blood flow to damaged nerves, with improved sensation and reduction of pain.

About 60 to 70 percent of people with diabetes have mild to severe forms of nervous system damage. The results of such damage include impaired sensation or pain in the feet or hands. Further, almost 30 percent of people with diabetes aged 40 years or older have impaired sensation in the feet. Severe forms of diabetic nerve disease are a major contributing cause of lower-extremity amputations. “More than 10,000 amputations are performed each month in the United States,” Dr. Ramaiah said. “This work will help to lower the amputation rate in diabetic patients.”

Studies show that diabetes-related amputations cost approximately three billion dollars per year ($38,077 per amputation procedure). With the rise of diabetes diagnoses, there is also an expected rise in the number of amputees. According to the Center for Disease Control (CDC), the total estimated diabetes costs in the United States in 2007 was $174 billion, making diabetes one of the most costly Medicare expenses. Two-thirds of all lower extremity amputations in the United States were directly linked to diabetes. In addition, two-thirds of these amputations were paid for by the Medicare program.

The findings presented by this study will be useful to endovascular specialists (podiatrists, vascular surgeons, and neurosurgeons) who treat diabetic neuropathy. Nearly 1,000 of these physicians, allied health professionals, and industry specialists from throughout the world will descend on Scottsdale’s Phoenician Resort, located at 6000 East Camelback Road, on February 28th through March 4th for the International Congress XXIII Endovascular Interventions, hosted by the Arizona Heart Institute.

This global educational conference is lead by Congress Chairman, Dr. Edward B. Diethrich, Founder and Medical Director of Arizona Heart Institute and Arizona Heart Hospital, and world-renowned cardiovascular surgeon. See www.endovascularcongress.org for more information.

About Diabetes and Neuropathy

Diabetes was the seventh leading cause of death in 2006, according to the CDC. More than 23 million people, or 7.8 percent of the population, suffer from diabetes. This debilitating disease can lead to serious complications, such as blindness, kidney damage, cardiovascular disease, and lower-limb amputations.

For nearly 35 years, Scottsdale Neuropathy Institute remains one of the world’s leading providers dedicated to the prevention, diagnosis, and treatment of diabetic neuropathy. The Scottsdale Neuropathy Institute offers the most contemporary and comprehensive approach to reducing the number of amputations among diabetic patients.

About Dr. Jacoby: Richard P. Jacoby, DPM, is a Scottsdale podiatrist and nationally recognized foot and ankle surgeon. As Director of the Scottsdale Neuropathy Institute and President of Valley Foot Surgeons, Ltd., he has served the Arizona community for 35 years, bringing relief to patients of all kinds, from treating ailments to the foot and ankle to surgically healing patients with pain of the lower extremity. He is one of 350 worldwide doctors trained in the Dellon Decompression surgery, which has eliminated the need of amputations for diabetic patients. He has successfully treated more than 700 diabetic patients facing lower limb amputations in the last eight years. In 2009, Dr. Jacoby was elected President of the Association of Extremity Nerve Surgeons. With a goal of reducing diabetic amputations, Dr. Jacoby has been researching and utilizing groundbreaking methods for treating patients who suffer from lower extremity nerve conditions.

Milestones in the History of Circulation

Blog Author — Thu, 11 Feb 2010 21:35:55 GMT

500 million years ago: – 1st appearance of endothelium

1 million years ago : – Boyd Eaton

300 B.C. : – Erasistratus: The Air-Pneuma theory

200 A.D. : – Galen blood theory

1616 : – Harvey, Theory of Circulation: Metaphor, the circle

1664 : - Thomas Willis: The Circle of Willis

1794: - Atwan Lavoisier : Nitroglycerin

1850 : – Jean Charcot: Neuropathic Principle of Arthropathy

1866 : – Alfred Nobel: Invention of Dynamite/Nitroglycerin with diatomaceous earth

1970 : – Endothelial Relaxing Factor: Murad

1972 : – McComas and Upton: Double Crush

1982 : – Dellon: Multiple Crush Syndrome

1998 : – Murad, Ignarro and Furchgott

2005 : – Cooke: ADMA

2009 : – Vinik: Small Fiber Neuropathy

2009 : – Blau: Tetrahydrobiopterin (BH4)

History of the Word Diabetes

Blog Author — Fri, 11 Dec 2009 11:21:16 GMT

History of Diabetes

The term diabetes (Greek: διαβήτης, diabētēs) was coined by Aretaeus of Cappadocia. It was derived from the Greek verb διαβαίνειν, diabaínein, itself formed from the prefix dia-, "across, apart," and the verb bainein, "to walk, stand." The verb diabeinein meant "to stride, walk, or stand with legs asunder"; hence, its derivative diabētēs meant "one that straddles," or specifically "a compass, siphon."

The sense "siphon" gave rise to the use of diabētēs as the name for a disease involving the discharge of excessive amounts of urine. Diabetes is first recorded in English, in the form diabete, in a medical text written around 1425. In 1675, Thomas Willis added the word mellitus, from the Latin meaning "honey", a reference to the sweet taste of the urine. This sweet taste had been noticed in urine by the ancient Greeks, Chinese, Egyptians, Indians, and Persians. In 1776, Matthew Dobson confirmed that the sweet taste was because of an excess of a kind of sugar in the urine and blood of people with diabetes.