Michel Hermans

Content from this Writer

November 12th, 2020

By Michel H.E. Hermans, MD

How should I treat a patient with a partial-thickness burn on less than 10% of their body but poor vascularity?

It is not possible to give a specific answer to this question because burns larger than 10% could be anywhere from 11...

monitoring the healing time of partial-thickness burns
February 10th, 2016

By Michel H.E. Hermans, MD

Recently I paid a visit to one of the better known wound care centers in the North East. As I expected, treatment of the common lesions seen in this center, such as venous leg ulcers and diabetic foot ulcers, was top notch. The use of compression and...

Year in review
January 7th, 2016

By Michel H.E. Hermans, MD

At the beginning of a new year, many look back at the previous one in an attempt to analyze what happened, whether it was good or bad or perhaps even special.

Medication
November 17th, 2015

By Michel H.E. Hermans, MD

Undertreatment of medical issues is not necessarily bad: palliative care usually only treats symptoms but not the underlying cause of the symptoms which, if the patient wants this, is very appropriate. Remember, Hippocrates said something about...

Health Care Profits
October 8th, 2015

By Michel H.E. Hermans, MD

Your mortgage company will not be able to hike your interest rate by 500% before the maturity date. If they tried, you could sue them for breach of contract and simply go somewhere else. If Mercedes, Hyundai or Ford hiked their prices by 5000%, you...

September 16th, 2015

By Michel H.E. Hermans, MD

Most of us will treat wounds primarily with Western-medicine techniques and materials, though, occasionally a "side step" is made. MEBO Wound Ointment is a non-Western, botanical cream that is used in the Middle East and the Far East for the management...

scapel for debridement
August 11th, 2015

By Michel H.E. Hermans, MD

There are a number of general rules in surgery. Among these: dead space has to be avoided. interestingly enough, there is virtually no real scientific documentation about this topic but everybody knows this to be true (in ulcers this, of course, applies...

honey bees
July 9th, 2015

By Michel H.E. Hermans, MD

In the June 2015 issue of the Journal of Ostomy Wound Management, Bell et al. published an article in which they reacted to the recent decision by CMS (January 22, 2015) to change its HCPCS code for a Manuka honey dressing for Medicare Part B...

journal article review
April 23rd, 2015

By Michel H.E. Hermans, MD

The first time you see your name published as the lead author of an article you are filled with pride. If an article is rejected you are filled with frustration.

Calculator
March 12th, 2015

By Michel H.E. Hermans, MD

The 10 year old son of friends of mine incurred a gash in his right knee. After the injury, he was able to walk without pain in the leg (the gash did hurt, of course) but was taken to the hospital by ambulance. There, an X-ray of the knee was taken...

healing rate
February 11th, 2015

By Michel H.E. Hermans, MD

An interesting article in JAMA Internal Medicine (February 2015) by doctors from Massachusetts, Maryland and California (A.B. Jena, M.D. lead author) analyzed mortality and treatment differences in patients who were admitted with cardiovascular...

December 11th, 2014

By Michel H.E. Hermans, MD

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google contact lens
November 12th, 2014

By Michel H.E. Hermans, MD

The 2014 SAWC Fall conference took place in October in Las Vegas. As always, it was good to see colleagues, share thoughts and stories, stroll through the exhibition areas and attend the lectures. As usual, the meeting was well organized although given...

October 14th, 2014

By Michel H.E. Hermans, MD

We, the wound care community, are doing it wrong! We are using FDA approved, expensive diagnostics and treatments while the solution for your diabetic foot ulcers, pressure ulcers, full-thickness burns and keloid scars are on the web and cost peanuts in...

September 12th, 2014

By Michel H.E. Hermans, MD

The CDC recently published encouraging data in the New England Journal of Medicine about a decline in the rate of five major complications related to diabetes mellitus: hyperglycemia, heart attack, stroke, kidney failure and amputations1...

August 12th, 2014

By Michel H.E. Hermans, MD

With a recent acute and serious vision problem, I have had to visit three ophthalmologists (all with different specialties) and a neurologist. I have undergone a series of tests, on the eyes as well as an MRI of the skull, brain and orbita, tests for...

July 10th, 2014

By Michel H.E. Hermans, MD

Merriam Webster defines bias as "selecting or encouraging one outcome or answer over others." The Cochrane handbook states: "The reliability of the results of a randomized trial depends on the extent to which potential sources of bias have been avoided...

June 20th, 2014

By Michel H.E. Hermans, MD

In the first part of this series on the challenges of conducting clinical trials in wound care, I discussed factors that include patient populations and lesion prevalence. Additional criteria and conditions of the clinical trial will be further examined...

May 20th, 2014

By Michel H.E. Hermans, MD

To do a Randomized Controlled Trial within a reasonable time frame, the disease to be studied should be common and the patient population large and accessible. In addition, preferably the effect of the treatment should be fast and specific.

April 10th, 2014

By Michel H.E. Hermans, MD

A recent article in Mayo Clinic's Proceedings studies contamination of stethoscopes. After a standardized physical examination, several parts of the physicians' hand were cultured and the results were compared to cultures of the stethoscope diaphragm...