The Voice of Podiatrists

Serving Over 12,500 Podiatrists Daily

March 21, 2011 #4,113 Publisher-Barry Block, DPM, JD

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CA Podiatrist Not a Fan of Shoeless Runing

Caity McCardell was running along the Huntington Beach bike path when she had hit a rocky patch of the blacktop.  She was running barefoot.

Dr. John Pagliano

 Dr. John Pagliano, a Long Beach-based podiatrist who specializes in sports injuries, is not a fan of running shoeless. "If you're 150 pounds, whether you come down on your heels or your forefoot, it's still 150 pounds," he said. "I think you really need the shock absorbers from the shoe and control of shoes while running."

Source: Melissa Rohlin, LA Times [3/18/11]
 

APMA HOD Begins

The 91st Annual American Podiatric Medical Association’s House of Delegates (HOD) began today in Washington, DC. In the morning, the Resolutions Committee, chaired by Tim Tillo, DPM, considered 17 proposed resolutions. The committee recommended “do pass” for 15 resolutions, with two resolutions being withdrawn.

(L-R) Jay Levrio, Drs. Tim Tillo, Ken Malkin, Glenn Gastwirth, and Mark Schilansky

Among the notable resolutions was a proposed dues increase of $50 for the fiscal year starting in June, 2011, with subsequent $25 increases in 2012 and 2013. Another resolution paved the way for removing the limitation on the number of Board of Trustee Members who can come from a particular state. All resolutions will be considered by the full HOD on Sunday and Monday.

MA Podiatrist Faces MS with Positive Attitude

When Jeffrey and Janet Bernardone were married in June 1990, they began living the American dream. Their son, Jeff, was born in 1991 and the family moved to Mansfield when Janet was pregnant with their daughter, Marissa, in 1995. Things changed during that move. Jeffrey’s legs became very weak and he would collapse at times and then recover. Visits to New England Medical Center (Tufts) brought the diagnosis of relapsing-remitting multiple sclerosis (MS). 

Dr. Jeffrey Bernardone on recent trip to New York City

Jeffrey, a former podiatrist, stopped working as his disease progressed to secondary progressive MS. He now has no use of his legs or left arm, minimal use of his right arm, double vision at times and also is hard of hearing. Yet he is grateful, not for the disease but for what going through the disease has brought out in family and friends. “There are other people worse off,” Jeffrey said. “I’m grateful. I have two beautiful kids and I am at home. MS is in (my) cards and (I) have to learn to deal with it.”

Source: Paula Vogler, Easton Journal, [3/18/11]

FL Podiatrist Teams Up with Father to Build "Green" Houses

When asked the mission of Stajo Construction, Stan and Josh Rosenbaum reply in unison, "Our goal is to satisfy the customer." Father and son, respectively, say they accomplish their goal by combining a commitment to meeting their clients' individual needs while providing high-integrity housing delivered within budget and on time. 

Joshua and father Stan Rosenbaum. (Photo: David Massey)

Dr. Joshua Rosenbaum, now 37, was a biology major who got his doctorate in podiatry. But his passion for building and environmental issues lured him back into the industry. "About nine years ago, I took a year or two off to work full-time with my dad, mainly working on site with the superintendents," he recalls. "In 2008, I got my general contractors license from the state of Florida. I'm very interested in green construction and development. So I became a certified green professional through the National Homebuilders Association, as well as an accredited professional with the Green Building Council.

Source: Patti Light,  Daytona Beach Journal [3/19/11]

Query: Medical Nail Technician?

Does anyone employ a medical nail technician in the office? How has it helped your practice? Any experiences or thoughts would be helpful.

Patrick Barnes, DPM, Council Bluff, IA

Query: Pain in Hallux Interphalangeal Joint (Jordan Sheff, DPM)
From: Multiple Respondents

It's likely that the MPJ is not dorsiflexed sufficiently to allow for propulsion and as a result, there is now  jamming and increased mobility at the hallux IPJ. While this may sound radical, I had a similar case sent to me a number of years ago where I recut the MPJ and inserted a total silastic implant. Since the fusion appears solid, you can determine at what level you wish to recreate the MPJ so that the first metatarsal length can be preserved.

The surgery has placed abnormal forces on the distal joint. Try injection of steroid with rigid soled shoes and NSAID if tolerable. If this fails, I recommend an arthrodesis of the joint.
 
David L. Nielson, DPM, Roanoke, VA, pampantla@hotmail.com

A rocker-bottom shoe will work.
   
Dwight L. Bates, DPM, Athens, TX,  dlbates04@yahoo.com

RE: White Tipped Toes (Gregory Mayer, DPM)
From: Paul R. Scherer, DPM, Jeffrey Kass, DPM

It appears that this patient may have an increased amount of keratin in that area of her toes – think hyperkeratosis. Keratin absorbs several times its own weight in water, like a sponge. I’m sure readers have seen calluses turn the same white in patients with hyperhydrosis.

Paul R. Scherer, DPM, San Francisco, CA, paulscherer18@gmail.com

Dr. Mayer - you write in your posting that your patient tested negative for Raynaud's. What test are you referring to? To my knowledge Raynaud's is a clinical diagnosis, I was not aware of any "test" for it.
 
Jeffrey Kass, DPM, Forest Hills, NY, jeffckass@aol.com

RE: Replacement Product for Panafil (Theresa L. Schinke DPM)
From: Multiple Respondents

I also used Panafil for years. I have now been using Santyl ointment, with fairly good results.

Philip McKinney, DPM, Eugene, OR, opodiatry@oregonpodiatry.net

Panafil  (as well as Accuzyme and several other papain/urea-based debriding agents) was taken off the market in 2008. As far as I know, the only currently available active enzymatic debriding agent is Santyl (collagenase), which is manufactured by Healthpoint.

Robert Wunderlich, DPM, San Antonio, TX, rwunder@gmail.com

RE: Pissed Off About Healthcare (Wm. Barry Turner, BSN, DPM
From: Gino Scartozzi, DPM

I, and many of my fine colleagues, "feel your pain." The question, as I humbly see it, is whether we as a group of physicians can collectively bargain. Currently, and unfortunately, the answer is NO because of the Sherman Anti-Trust legislation. In my opinion, the utilization of PACs through state and national associations to promote "collective bargaining" for physicians in this current political environment would probably NOT be effective.

I believe there is no appetite by the public or most politicians to extend "collective bargaining" to...

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

RE: The Affordable Healthcare Act of 2010 /Obamacare (Marc "Merlin" Mauss)
From: Narmo L. Ortiz, Jr., DPM

I would like to ask Mr. Mauss, and your point is...? The definition of welfare is clear in many dictionaries: health, well-being, prosperity. The word has been in use since the Middle Ages, so you think it was used in a different context when the U.S. Constitution was drafted?

If a government has the power to excise taxation from its citizens to contribute to the general welfare and security of the country they reside in, it also should have the duty to provide such welfare in the way it sees fit, when appropriate, and in a legal manner for the benefit of the citizens of such country.

Now leave it to the hundreds of lawyers and amendments that have been passed in the last 200 plus years, and what has been created is a Pandora's box of irregularities and self-interest benefits.

Narmo L. Ortiz, Jr., DPM, Cape Coral, FL. nlortizdpm@embarqmail.com

RE: Homeopathy is a Safe Way to Complement Treatment Choices (Robert Steinberg, DPM)
From: Robert Kornfeld, DPM

Dr. Steinberg's assertion that modern homeopathic treatment is based on the "pseudo-science" of long ago is entirely biased and without education in this field. The use of homotoxicologic preparations is based on modern science and an understanding of the effects of toxins on the extracellular and intracellular matrix. Dr. Steinberg and others like him are welcome to keep their heads in the sand, but the reality is that when used properly, these medicines effect cures that are quite profound and observable. This is a growing field not because there are so many doctors who believe it works, but because it does work and patients are realizing the benefits of it and demanding it more and more.

As I have said countless times on this forum, it is not a stand-alone treatment, but part of a bigger protocol designed to optimize the health of the patient and the reactivity of the immune system. The 19% who responded to PM's survey favorably about homeopathy will be able to create amazingly successful niche practices in integrative medicine, while the rest will continue to struggle with managed care control and shrinking incomes.
 
Robert Kornfeld, DPM, Manhasset, NY, holfoot153@aol.com
 

ASSOCIATE POSITION - TEXAS

Are you looking for a busy, well-rounded practice experience?" Group practice in DFW area looking for a 3-year surgically-trained associate with a sports medicine background. Needs to be as comfortable making orthotics as fixing a complex flat foot. Email CV to crane@faant.com

POSITION AVAILABLE – NEW YORK

Well-established, multi-doctor podiatry practice with offices in Putnam and Westchester counties. Compensation based on productivity. Excellent opportunity for recent residency graduate to build skills and learn practice management. Full-time preferred but right part-time candidate will be considered. Email cover letter and CV to: Podiatry2011@gmail.com 

IMMEDIATELY AVAILABLE- ASSOCIATE POSITION - DAYTON, OHIO

Join a well-established modern practice with an excellent reputation and referral base. Base salary $100,000 and benefits with a bonus structure. EMR, diagnostic ultrasound, all aspects of DME, Padnet vascular studies, and CO2 lasers. We seek a surgeon that is well trained, personable and motivated to join our group of 3 Podiatric Surgeons. Would like this individual to buy in the practice eventually. Please send resume to ohiodoctors@aol.com

ASSOCIATE POSITION - ST. LOUIS

Multi-location group practice seeks motivated DPM with initiative and leadership skills to contribute to our growth.  Must be board eligible/certified. Practice enjoys strong reputation and name recognition. Established location available for PSR 36+ with incentive comp, benefits, coverage. Please send CV to jmurray@foothealers.com and visit  www.foothealers.com.

PODIATRISTS NEEDED - TEXAS, EASTERN, PENNSYLVANIA

Looking for podiatrists to cover three or four nursing homes in Eastern Texas (Rusk & Tyler) Ft/ Worth/Dallas. Also in Upstate New York (Syracuse and Buffalo) and Pennsylvania (Meadville, Hillsdale, and State College). AVAILABLE IMMEDIATELY. E-mail doconcall02@aol.com  

ASSOCIATE POSITIONS - NW INDIANA, CHICAGO AREA

2 Full-Time positions open - One for Northwest Indiana and one for the Chicagoland area. Must have 2-year surgical residency. Must be motivated and a self-starter. State License required. If interested email: f-massuda@footexperts.com

ASSOCIATE POSITION - MARYLAND

IMMEDIATE Associate needed to join a multi-office podiatry practice in the Baltimore MD Region. Desired candidate should be surgically trained with Board Eligible/Certification. You must be hard-working, ethical, compassionate and confident in your abilities to deal with pathology, patients, staff and fellow physicians. Patient base is already established. Excellent income and growth potential for the right associate. Please forward a cover letter, resume, and surgical log (if a current resident) and availability to FootDocMaryland@Gmail.com

ASSOCIATE POSITION - NYC, NY

ASSOCIATE OPPORTUNITY - FREDERICKSBURG, VA

Progressive, busy practice seeks personable, ethical, confident associate interested in future partnership. Lucrative opportunity for self-starter with strong work ethic. State-of-the-art office in rapidly growing community with two new hospitals and new surgery center. Practice has excellent reputation with well established referral base. Cover letter/CV to: fredfeet@verizon.net

EQUIPMENT FOR SALE - COOL TOUCH LASER
 
Cool Breeze Cool Touch CT3 plus laser used for ugly, unsightly, toe nail infections. Less than six months old. Great price won't last long. Considering a laser? We also have the Q- Clear Q- switch laser too. This laser is perfect for you. Dr. Zuckerman is in the Fort Lauderdale area and will demo this lasers on your patients. E-mail footcare@comcast.net

PRACTICE FOR SALE - NORTH DALLAS, TX

Reasonably priced. 26 year old solo practice, centrally located. Includes 1 Ritter & 1 Midmark chairs, Excel x-ray, electronic claims submission, website, all supplies and instruments. Retiring owner will stay for transition. Will consider owner finance. dallasfootdr@yahoo.com

PRACTICE FOR SALE - WASHINGTON STATE - SUBURBAN SEATTLE

16 year established part time practice. Includes Midmark 417 (4 position keypad), Excel X-ray, processor, Ritter M9, instruments, bandaids, etc. 1 Day/week $50K gross. Professional Business appraisal at $48K. Asking $35K. Shared office with 2 FP's. Easily expandable. Reply: practiceforsale18@yahoo.com

PRACTICE FOR SALE - MARYLAND, DC SUBURBS

Great opportunity. Well established and equipped practice for sale. Office includes state licensed Ambulatory Surgical Center. Present owner is retiring but will stay on as needed for smooth transition. Average gross over past 3 years is $575 K. dpmpracticeforsale@yahoo.com

SPACE AVAILABLE- NYC & LI

Office to sublet and share - East 60th Manhattan, and Plainview long island. access to an MRI, Joint Commission certified operating rooms, digital x-ray, diagnostic ultrasound, and access to a multi-specialty ambulatory surgical center. Turn-key operation - no investment needed 516 476-1815 PODO2345@AOL.COM

PM News Classified Ads Reach over 12,500 DPM's and Students

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