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PM News

The Voice of Podiatrists

Serving Over 15,791 Podiatrists Daily


July 29, 2014 #5,123 Publisher-Barry Block, DPM, JD

A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2014- No part of PM News can be reproduced without the
written permission of Barry Block

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PM NEWS QUICK POLL

Quick Poll

How many weeks of vacation will you take this year?
Click HERE for Results

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aetrex


PODIATRISTS IN THE NEWS - PART 1
TN Podiatrist Discusses Treatment of Brown Recluse Spider Bites
 
Beware of light brown spiders with a dark mark on the back that resembles a violin. Sometimes called a “fiddleback” or “violin spider,” its name is the brown recluse and it packs a venomous bite. Dr. Eric Bouldin, a podiatric physician and surgeon said, “There are many types of venomous insects and spiders that can cause this type of wound, and people can react very differently to them,” Bouldin said.
 
Dr. Eric Bouldin
 
“Treatment always depends on the wound, but this man’s case was very unusual, and while we think it might have been a brown recluse bite that later became infected, we can’t be sure. “I normally see about two cases a year that are probably brown recluse bites, but the patient usually doesn’t bring it in, nor do I really want them to. “The best advice is prevention and early detection. If you think you’ve been bitten, see a doctor right away.”
 
Source: Marian Galbraith, The Tullahoma News [7/27/14]

dyna3


Dr.Comfort


PODIATRISTS IN THE NEWS - PART 2
Plantar Fasciitis is Most Common Summer Foot Ailment: NV Podiatrist
 
Summertime, a season of blessed bipedal liberation, also is a prime time for experiencing foot problems ranging from painful soles to fungal infections to even injuries from accidents. Southern Nevada’s temperate climes make such foot problems year-round issues, says Dr. Christine Clark, a Las Vegas doctor of podiatric medicine. “We’re a little different in Las Vegas because the cold weather is not so drastic like it is back East, (where feet are) enclosed in shoes for about six months.”
 
Dr. Christine Clark
 
Clark says that the most common summertime problem is plantar fasciitis, a painful irritation or inflammation of the plantar fascia, a tissue that extends almost the length of the foot. It can be associated with the wearing of flip-flops, sandals, or other types of footwear that don’t provide enough support for the arch of the foot. Clark adds, “In summertime, people are wearing more shoes without good arches and then they’re walking on vacation or just doing more activities.”
 
Source: John Przybys, Las Vegas Review-Journal [7/26/14]
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PODIATRISTS IN THE NEWS - PART 3
Soaking Feet in Vinegar Solutions is Home Treatment for Bromidrosis: GA Podiatrist
 
The bacteria that live on your skin and in your shoes eat your sweat, producing an acid by-product that reeks, according to a Japanese study. It's a natural process, but luckily you can reduce the bacteria by creating a drier habitat for your feet, says Rondrick Williamson, DPM, a podiatrist in Atlanta, Georgia.
 
Dr. Rondrick Williamson
 
If you want to create an inhospitable environment for bacteria, bathe your tootsies in vinegar. It has a drying effect so the bacteria starve, says Dr. Williamson. Mix one part vinegar with two parts water in a tub or large bowl. Soak your feet for 30 minutes once a day for a week.
 
Source: Ali Eaves, Men's Health  [7/27/14]

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PODIATRISTS IN THE COMMUNITY
VA Podiatrist Presents Healthcare Guardian Award to GA Representative
 
Ten representatives from Virginians for Quality Healthcare (VQH), led by Executive Director Donna Hamilton, met with Congressman Tom Price (R, GA-6) in his office on Capitol Hill on July 24 to present him a Certificate of Recognition for the leadership he has shown in proposing the Empowering Patients First Act, a healthcare alternative offering Americans accessibility, affordability, choices, innovation, quality, and responsiveness. The Certificate designates the Congressman as a Healthcare Freedom Guardian. Among those presenting the award to Dr. Price was podiatrist Dr. Stanley Idiculla, President of the Northern Virginia Podiatric Medical Association.
 
(L-R) Donna Hamilton, Rep. Tom Price, and Dr. Stanley Idiculla (R)
 
“Despite what some politicians and media say, there are good alternatives to Obamacare, a law that the majority of Americans oppose,” said Donna Hamilton, executive director of Virginians for Quality Healthcare. “These alternatives will restore Americans’ choices and put patients, in consultation with their doctors, back in control of their healthcare.” For nearly 20 years, Dr. Price worked in private practice as an orthopedic surgeon. He was first elected to represent Georgia’s 6th District in November, 2004. 

Bako


PODIATRIC PRODUCTS IN THE NEWS - PART 1
Nemo Capital Partners Awarded $500,000 State Incentive to Bring New Jobs to MI
 
A Southfield-based investment company was awarded a $500,000 state incentive Wednesday to entice it and its subsidiaries to consolidate Ohio and New Jersey offices in Michigan. Nemo Capital Partners LLC will bring 125 jobs to Southfield, where the company will be located. Nemo’s award was one of three announced Wednesday by the Michigan Economic Development Corp., with other projects choosing sites in Port Huron and Cass City.
 
Nemo, a privately held investment company, and its subsidiaries, TRAKnet PM LLC, TRAKnet RCM LLC, Collaborative Practice Solutions LLC, Darena Solutions LLC, Build Your EMR LLC, Smart Sheet 10 LLC, and Direct EMR LLC work as one operation with a portfolio of healthcare holdings. The company plans to invest about $2.2 million to complete the move and build its headquarters. 
 
Source: Chris Gautz, Crain's Detroit [7/24/14]

2020



CODINGLINE CORNER
Query: Unna Boot and Edema
 
A patient comes into the office for ulcer debridement and is noted to have associated pitting edema. When billing ulcer debridement, can you also bill for application of a compression Unna boot? Also, what diagnostic code would be used? 
 
Craig Sapenoff, DPM, West Palm Beach, FL 
 
Response: There is an applicable NCCI edit between ulcer debridements (CPT 1104x) and an Unna boot application (CPT 29580). The ulcer debridement is a column 1 code, while the Unna boot is a column 2 code. And, there is a '1' indicator. 
 
What that means is that: (a) the Unna boot cannot be used on the same foot/leg as the ulceration debridement; and (2) if you apply the Unna boot to the other foot/leg, a "-59" modifier (distinct procedural serve) would be appended to the Unna boot application code, CPT 29580. 
 
Paul Kinberg, DPM, Dallas, TX 
 
Codingline subscription information can be found here
APMA Members: Click here for your free Codingline Silver subscription

MSI


RESPONSES/COMMENTS (CLINICAL)
RE: Failed Attempt to Place Ceramic Balls in Feet
From: Peter Bregman, DPM
 
Recently, a colleague of mine apparently attempted to place ceramic balls to act as spacers in the fourth and fifth metatarsal cuboid joints. Obviously, it failed. Interestingly, after this surgeon realized that the implants were extruding from the joints, he told the patient to leave them there and now she has significant neuritis from not having them removed.  
 
Failed Attempt to Place Ceramic Balls in Feet
 
This is a classic example of where the surgeon did not want to admit fault and should have removed these as soon as he discovered this. I am not sure where the failure was in technique, but clearly it was there. I took a diagnostic ultrasound picture because I thought it would look interesting, and I think it does.
 
Peter Bregman, DPM, Las Vegas, NV, drbregman@gmail.com

scherer


RESPONSES/COMMENTS (OBITUARIES)

RE: The Passing of Frank Mattei, MD

It is with deep sadness that I report the death of Frank A. Mattei, MD. He was Chief of Orthopedic Surgery at St. Luke's and Children's Medical Center - James C. Giuffre' Medical  Center in Philadelphia. Between 1957 and 1989, a thirty-two year period, he served as teacher, mentor, and friend to some 444 podiatric residents. He was the first orthopedic surgeon to support and welcome members of our profession with full medical staff membership, and surgical and admitting privileges. Dr. Mattei was 95 years of age and always referred to his residents as "my boys." Rest in peace my friend.
 
Arthur E. Helfand, DPM, Narberth, PA  

optima1


RESPONSES/COMMENTS (NEWS STORIES)
From: Dennis Shavelson, DPM
 
When discussing “usually” and “due to” with reference to onychomycosis, I agree with Dr. Hirsch.
 
Anecdotally, I usually find primary or precursor repetitive microtrauma, underlying biomechanical pathology, and poorly fit and styled shoes partially causative. The first thing in my treatment plan is interventions for eliminating biomechanical pathology. I call this “mechanical-suppression” rather than immunosuppression and convert the subject in discussion more appropriately from “onychomycosis” to “onychodystrophy” in which dermatophytes merely play a role.
 
Dennis Shavelson, DPM, NY, NY, drsha@lifestylepodiatry.com
MEETING NOTICES - PART 1

SBW

mailtoIFAF

YOU CAN'T MAKE THESE THINGS UP

RE: Outrageous Shoe of the Day

Trendy rocker-bottom post-op shoe?

Source: runningwithheels.com

MEETING NOTICES - PART 2

podinst

aens


CLASSIFIED ADS
SPACE TO SHARE -  MANHATTAN AND LI
 
Desirable locations on  Upper East Side, Gramercy,  the Financial District, and  Plainview (North Shore Long Island). Extremity MRI and cat scan available in selected offices. Call 516 476-1815  PODO2345@AOL.COM
 
OFFICE FOR SALE - S.E. FLORIDA 
 
20 year old office, South Palm Beach County. Owners looking to semi-retire. Location in very busy section of Delray - Boynton. Serious inquiries only. Asking $175,000. Email reply - Bafamt@aol.com
 
PRACTICE FOR SALE - MANCHESTER, CONNECTICUT 
 
Well-established, 35-year-old reputable practice/condo with approx 2,500 Square ft. rental space. Grossing approximately $350,000.  All phases of podiatry. Flexible terms. Contact Dr. Loren Schneider  drsch52@hotmail.com
 
PRACTICE FOR SALE - AUSTIN, TX  
 
Very busy extremely well-established multiple podiatry office seeing up to 80 patients daily. 8 fully equipped treatment rooms, MLS laser and toenail lasers, digital x-rays, etc. Office wired for EHR.  Extremely lucrative practice priced to sell quickly as the doctor is retiring after 30 years, for personal reasons. Serious inquiries only to Jeff Rabkin @ 512-293-7559 or Jefreetx@hotmail.com.
 
EQUIPMENT FOR SALE – RITTER PODIATRY CHAIR
 
PB Ritter chair, lift, back, tilt, and foot hydraulic. All functions working Black upholstery. $750 or best offer please call 212-724-4457 or email drrottenbergsoffice@gmail.com to view chair, click here
 
ASSOCIATE POSITION - SOUTHERN NEW JERSEY 
 
Full-time board qualified/certified podiatrist. Motivated, ethical. Salary plus bonus. Health insurance , 401k Email; resume to: Njfootdr722@gmail.com
 
ASSOCIATE POSITION  - RICHMOND, VIRGINIA
 
Motivated DPM Independent contractor needed for busy practice to work in our 2 offices.  Outside retirement facilities are an option.  Hospital and surgery center privileges available.  Send CV to PO Box 8211, Richmond, VA 23226 or odiel@comcast.net.
 
ASSOCIATE POSITION,  PART-TIME  - NJ 
 
Can you handle a challenge? Associate wanted for amazingly busy practice. Must be enthusiastic, outgoing, surgically trained but conservatively minded. The sky’s the limit. Wonderful environment and great support team.  Great pay with potential for expansion Bergen County, NJ. For further information, email to njfootankle@yahoo.com or fax to 201-261-0058.
 
ASSOCIATE POSITION  - LOUISVILLE, KENTUCKY  
 
available immediately in a busy high visibility office with digital x-ray and 3 years’ experience in EMR.  Good patient volume and potential for partnership or purchase.  Contact samuel10530@yahoo.com
 
ASSOCIATE POSITION - SAVANNAH, GEORGIA
 
Practice serving beautiful, historic, Savannah, GA and the Low Country seeking a second, Board- eligible/Certified podiatrist.  Practice has solid patient and physician referral base.  Surgery, general podiatry, wound care and specializing in diabetic foot care.  Service area nursing homes.  Superior medical assistants, scribe, scheduling and administrative support using latest EMR technology.  Income guarantee the first two years with bonus potential.  Offer generous benefit package, including moving allowance.  Great opportunity for highly motivated and ethical professional, with excellent patient skills.  Bilingual ability a plus.  Send CV and location to U.W. Plummer at drjadandy@yahoo.com.  For additional information contact Mrs. Plummer at 927-8011.
 
ASSOCIATE POSITION - THE BRONX, NY
  
Busy Bronx Practice, position available for part-time and potential full time. All aspects of podiatry, wonderful for an ethical, courteous and eager individual to learn the cutting edge knowledge and skills in Wound Care as well as Limb salvage. Affiliation of a prestigious hospital with an outstanding podiatric residency program. If interested, please email at: advocatebronxfoot@icloud.com or fax C.V. to: (718) 655-5029
 
ASSOCIATE POSITION - SOUTHEAST GEORGIA STATESBORO & SURROUNDING AREAS  
 
Beautiful weather year round. Seeking experienced, Family-oriented, podiatrist looking to build a career & long-term relationship. Must be PSR-24/36 trained. Multiple locations. Full range of services with access to Surgical Center. Willing to live in a College town with rural settings. E-mail cover letter & CV to melissafoot@atlanticfeet.com
 
ASSOCIATE POSITION – LONG ISLAND, NY 
 
Board certified podiatrist with an excellent bedside manner needed in mid-Nassau County 2-3 days a week.  You must be caring, dedicated, listen to patients, and play well with others. Digital x-rays, PAD NET, Sammy EHR, nail laser, and other equipment will be at your fingertips to make your job easier. Experience with Sammy EHR is preferred, but we will train the right person. We look forward to receiving your CV along with references at: healthyfeetLI@gmail.com
 
ASSOCIATE POSITION - MANHATTAN AND WHITE PLAINS 
 
Looking for energetic, personable, compassionate well trained individual (PSR 36 or 48) for busy sports medicine and surgically oriented practice. This is an excellent opportunity for a hardworking, progressive individual who is comfortable with community outreach. Partnership opportunity is available. Send CV to east88footcare@aol.com.
 
ASSOCIATE POSITION – VICTORIA, BRITISH COLUMBIA
 
Associate for multi-office practice 100k to start with buy-in option. Located in beautifulVictoria British Columbia. Reply to dr.cole@shaw.ca
 
ASSOCIATE POSITION – HOUSTON, TEXAS 
 
Full or Part-time associate to join board-certified podiatrist in a rapidly expanding, modern podiatry practice.  We are located in one of the fastest growing cities and most desirable states for podiatry in the country.  EHR, digital x-rays, multi use laser, all aspects of DME and major area hospital affiliations. No wound care or nursing homes. Current Texas podiatrists welcome. Salary, bonus, benefits and partnership available.  Send C.V. with salary and benefit expectations: faajobs@gmail.com
 
ASSOCIATE POSITION – NORTHWEST INDIANA 
 
Busy podiatry practice looking for highly-motivated full time associate to start immediately. Located in Northwest Indiana, about 1 hour from Chicago. Email resume to info@friendlyfootcare.com
 
ASC STAFF PRIVILEGES AVAILABLE - NEW JERSEY 
 
Fair Lawn ASC (ambulatory surgical center) is accepting applications for staff privileges. NJ license needed. Patient transportation available in the tri state area.  Equity buy-in available. Call 516 476-1815 PODO2345@AOL.COM
 
PM News Classified Ads Reach over 15,500 DPMs and Students
 
Whether you have used equipment to sell or are offering an associate position, PM News classified ads are the fastest, most-effective way of reaching over 15,500 DPMs. for details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at (800) 284-5451
Disclaimers
Acceptance and publication by this newsletter of an advertisement, news story, or letter does not imply endorsement or approval by Barry Block or Kane Communications of the company, product, content or ideas expressed in this newsletter. Podiatric Medical News does not represent the views, and is a separate entity from Podiatry Management Magazine and Podiatry Management Online. Any information pertaining to legal matters should not be considered to be legal advice, which can only be obtained via individual consultation with an attorney. Information about Medicare billing should be confirmed with your State CAC.
THIS MESSAGE IS INTENDED ONLY FOR THE USE OF THE INDIVIDUAL OR ENTITY TO WHICH IT IS ADDRESSED AND MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL AND EXEMPT FROM DISCLOSURE.
If the reader of this message is not the intended recipient or an employee or agent responsible for delivering the message to the intended recipient, you are hereby notified that any dissemination, distribution, or copying of this communication is strictly prohibited. If you have received this communication in error, please immediately notify me and you are hereby instructed to delete all electronic copies and destroy all printed copies.
DISCLAIMER: Internet communications cannot be guaranteed to be either timely or free of viruses.
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Barry H. Block, DPM, JD
 
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