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RESPONSES / COMMENTS (NON-CLINICAL) - PART 4

05/05/2012     




RE: Sterilizing Bits Between Debridements (Lancing Malusky, DPM)
From: Bryan C. Markinson, DPM

Some of the opinions fly in the face of standards developed long ago. The latest post by ABPS-certified Dr. Malusky is why I feel this way. He states that a podiatrist should not be made to feel "retro" for drilling nails. He supports this by indicating that "we spin the bit in the cold sterile solution, instantly removing remnant debris," a method not up to snuff by any standard of cleanliness, let alone sterility.

He probably would even say that he would not hesitate to use the bit on himself or a family member, as he is "lung disease free." Aerosolization of nail dust and drill bit sterility are two completely different issues.

He has an installed central vacuum which has been shown to...

Editor's note: Dr. Markinson's extended-length letter can be read here.