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PM News

The Voice of Podiatrists

Serving Over 18,830 Subscribers Daily


March 05, 2018 #6,136 Publisher-Barry Block, DPM, JD

A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2018- No part of PM News can be reproduced without the
written permission of Barry Block

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PM NEWS QUICK POLL RESULTS
Results of last week's poll
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PM NEWS QUICK POLL

Quick Poll

What do you use for PIPJ arthrodesis for hammertoe repair?
DrRem37

PODIATRISTS AND SPORTS MEDICINE
CA Podiatrist Discusses Treatment of "Turf Toe"
 
“Turf toe” could be a few different types of injuries - not just one specific condition or anatomical structure. The primary method of prevention is use of stiffer shoes/cleats and taping (particularly for sports where one is barefoot)," says Amol Saxena, DPM.
 
Dr. Amol Saxena
 
"Most turf toe injuries can be treated without surgery. Mild sprains usually need some relative rest, ice, and stiffer shoes and/or insoles. Oftentimes, a specific foot insert (orthosis) or turf toe insole is used to help an athlete return to play. These keep the big toe from bending too much. Sometimes, a cleat is directly under a sesamoid; removing the sesamoid can be helpful. Moderate cases usually need a boot as well as non-weight-bearing," says Dr. Saxena.
 
Source: Soccer America [3/2/18]
rhettmar518

PODIATRISTS AND FOOTWEAR
Softer Shoes Can Impact Balance: FL Podiatrist
 
"Shoes with thick foam liners or soles can often effectively provide enough cushion for the foot to ease the pain of walking or standing for many. Shoes with thin fabric uppers with fewer stitched seams can often adequately provide the stretch needed to accommodate bunions and hammertoe contractures for many. These softer-soled or cushion shoes decrease what is known as the proprioception in our feet," says podiatrist David Raynor, DPM.
 
Dr. David Raynor
 
"One risk of proprioception compromise is falling, which can be potentially devastating. Many times, a loss of proprioception is not noticed as its progression is so gradual. EMG/NCV testing by a neurologist can objectively confirm compromise to the nervous system. Self-evaluation, observation by family/friends, or a health/gait examination can also indicate balance issues," says Dr. Raynor.
 
Source: Citrus County Chronicle [2/26/18]
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PODIATRISTS IN THE COMMUNITY
GA Podiatrist Co-Sponsors HCFS Forum
 
The Hungry Club Forum of Savannah, Inc. (HCFS), “Harnessing the Power of Collaboration on the issues of today and tomorrow,” will celebrate Women’s History Month with a panel of leaders and advocates on, “Women Making Our Community Stronger: A Celebration of National Women’s History Month.”
 
Dr. Lillian Williams
 
The HCFS’ March co-sponsor is Williams Foot & Leg Specialty Center, Lillian Williams, DPM, owner. Dr. Williams has practiced podiatric medicine for 16 years, specializing in diabetic foot care. She is also involved in a number of community improvement efforts.
 
Source: Savannah Tribune [2/28/18]
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RELEVANT RESEARCH
Fenofibrate Reduces Uric Acid Concentrations, Gout in T2DM
 
Fenofibrate reduces uric acid concentrations by 20% and cuts the number of gout events by nearly half over a 5-year period in patients with type 2 diabetes (T2DM). This is the first long-term evidence that fenofibrate can reduce gout events over the course of a 5-year period.
 
This was a post hoc analysis of the double-blind randomized controlled FIELD trial evaluating fenofibrate (200 mg/day; n=4895) vs. placebo (n=4900) for 5 years to prevent gout in T2DM. For all gout events during 5 years, fenofibrate cuts the risk by almost half (HR, 0.48; P<.0001).
 
Source: Miriam Davis, PhD, Lancet Diabetes Endocrinology via Univadis [2/28/18] 
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PRACTICE MANAGEMENT TIP OF THE DAY
4 Areas for Practices to Focus on in 2018 - Part 4
 
In working with a variety of providers on solutions to address today’s biggest market pressures, we’ve identified four key areas in which practices should invest time and resources to be successful: 
 
4.  In-Office Dispensing
 
Patient care and outcomes are optimized when prescriptions are as close to the physician as possible. In-office dispensing, which can include either a physician dispensing program or a retail pharmacy, enables providers to play a greater role in the pharmaceutical care of their patients. Practices looking to implement an in-office dispensing program need to be ready for the increased regulatory requirements to support the program and ensure they are properly structured to take on the additional workflow and responsibilities of dispensing.
 
Having an in-office dispensing program where clinical staff is part of the care team allows the practice to better manage the patient. If both the patient and the prescription are close to the provider, it has a positive impact on patient outcomes and provider measurement under a value-based care model. While the challenges that practices face this year and beyond are formidable, by creating smart solutions and strong partnerships, providers can come out on top. Focus on inventory management, MACRA, clinical research and physician dispensing – or find a partner who can help you address these four opportunities – and you, too, will soon find ways to expand offerings and remain financially viable while also achieving the ultimate goal of providing patients with the highest quality care.
 
Source: Barry Fortner, PhD. Physicians Practice [2/24/18]
Drcomfortfeb1918

QUERIES (CLINICAL)
Query: Rapid Onset of Sweaty Feet in a Diabetic
 
I had a patient come in this week who is in his mid-twenties. He has been an insulin-dependent diabetic since age 5. He's about 80 pounds overweight. His chief complaint is sweaty, smelly feet that started only a month ago. My usual first line of treatment is to use an over-the-counter antiperspirant spray on his feet. This did no good. 
 
He changes his shoes frequently so I don't see that this is caused by any pair of shoes. Has anyone heard of a hormonal aspect to hyperhydrosis? 
bakomar518A

QUERIES (EHR)
Query: Inexpensive Program for ePrescribing
 
Currently, I use Practice Fusion only for electronic prescribing. As we all know, they are moving to a paid subscription model on June 1, priced at $99 per month, and with a yearly commitment. This seems a bit much for just electronic prescribing. Can anyone recommend a more reasonable (or free) software program for just electronic prescribing?
 
Edgard Nau, DPM, NY, NY
picadec1817

QUERIES (NON-CLINICAL)
Query: Source for Bupivacaine w/Epi
 
Does anyone know the availability status of bupivacaine 0.5 % with epinephrine? I'm told that it is back ordered from the company. 
 
Paul A. Galluzzo, DPM, Rockford, IL
surefitnov2017A

RESPONSES/COMMENTS (NON-CLINICAL)
From: Alison Silhanek, DPM
 
Regarding the paucity of research in podiatric medicine and surgery. PLEASE. Let us call it like it is. It is all about money. It is all about funding (or lack thereof). Unlike other allopathic medical sciences, there is no funding for research in podiatry. As someone who pursued research with an otherwise well-funded residency program for 10 years, I can confidently say that there is minimal funding for research in our profession. Neither the APMA nor ACFAS provides adequate funds. We are our own worst enemy. After 10 years of vigorous effort with minimal support or reward, I gave up. Why would I expect more from anyone else?
 
Alison Silhanek, DPM, Smithtown, NY
Redig-thotics

YOU CAN'T MAKE THESE THINGS UP

RE: Outrageous Shoe of the Day

Easy heel pain diagnosis? (Photo Alfredo Salazar)

Source: Vincente Rey via Virtual Shoe Museum

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MEETING NOTICES

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CLASSIFIED ADS - PART 1 ASSOCIATE POSITIONS AND FELLOWSHIPS
ASSOCIATE TO OWNERSHIP - UPPER PENINSULA, MICHIGAN 
 
Associate needed for long-standing successful practice, with option to purchase soon. Encompasses every aspect of modern podiatry (orthopedics, diabetic medicine, surgery, wound care, etc). Location is resplendent with nature, on a large lake, rivers, mountains, downhill skiing, mountain biking, cross country skiing, snowmobiling, hiking, hunting, all minutes away. The practice is located in a professional building, with every medical specialty. Practice is well equipped: diagnostic ultrasound, digital x-ray, in-office surgery, pain laser, fluoroscopy, etc. Hospital privileges available in state-of-the-art, new hospital. A unique work-to-own situation. E-mail: ctmthor4@hotmail.com
 
FULL TIME/PART TIME POSITION - CALIFORNIA
 
Available for well-established podiatry practice near San Francisco. 3 Locations in California, San Leandro Pleasanton, and Los Gatos. Broad responsibilities: Laser Procedure, wound care, surgery, general podiatry, and facilities. Potential associateship position. Submit CV and Contact Dr. Michael Stein for details. Excellent income potential! msteinheal@aol.com 
 
ASSOCIATE POSITION - HOUSTON, TX 
 
Established, growing multi office, multi doctor practice seeking PSR-36 board certified/qualified foot and ankle surgeon. Must be personable, outgoing and motivated with excellent clinical and surgical skills. Practice is protocol-based, state-of-the-art equipped with the latest technologies and cutting-edge procedures with an extremely competent staff. Send CV, salary requirements to faajobs@gmail.com.
 
ASSOCIATE PODIATRIST - TRISTATE AREA, MARYLAND 
 
Great team players wanted for Group Practice with several locations. Full time associate positions are available.  We offer state of the art facilities with well-trained support staff, in-office surgical center, ultrasound, DME, EMR, x-rays, etc. This amazing opportunity comes with a competitive salary, excellent benefits and bonus structure. Please email letter of intent and CV to mynewposition75@gmail.com
 
ASSOCIATE POSITION - PODIATRY GROUP IN LOS ANGELES 
 
Join the group/limb preservation team and teaching faculty. Must be well trained in limb preservation, trauma, and reconstructive foot and ankle surgery. Send CV to podiatricri@yahoo.com, attention Stan Mathis, DPM.
 
WESTERN MASS ORTHOPEDIC PRACTICE SEEKING CLINIC-BASED PODIATRIST
 
Large orthopedic practice in Western Massachusetts seeking a full-time clinic-based podiatrist interested in general foot care, diabetes and orthotics/DME. Candidate may be board certified or board eligible. Rearfoot/ankle training not required. Podiatrist will join two fellowship-trained orthopedic foot and ankle surgeons who are interested in creating a comprehensive foot care center. Founded over 30 years ago, we are a busy, growing practice of 16 sub-specialized physicians, recognized as the region’s top orthopedic specialists. Upcoming 2018 graduates and established podiatrists may apply. Please send CV. laurie.skole@neortho.com
 
ASSOCIATE POSITION  – DAYTON, OHIO 
 
Highly respected and growing, four podiatrists, 4 location practice seeking PSR-36 board certified/qualified foot and ankle surgeon. Must be dedicated, hardworking, poses excellent clinical and surgical skills, high-quality patient care, wound care.  Practice is equipped with certified EMR, digital x-ray, laser, ultrasound guided injections, Cutera Laser, regenerative medicine and PRP all aspects of DME. Meaningful Use attested, MIPS-ready. On staff 4 hospitals, no nursing homes. Highly trained staff. Send CV, salary requirements to ohiosurgeons@gmail.com  Excellent compensation plan, base salary and bonus, 401k plan, medical insurance, malpractice, paid vacation, holidays, CME. Signing bonus, ownership via deferred compensation plan.
 
FOR IMMEDIATE HIRE – MARYLAND 
 
Looking for an eager podiatrist to join our growing practice immediately. We are located in Waldorf and Clinton, MD. The ideal candidate will be self-motivated and will be busy from the moment they are hired! We are looking for a well-rounded podiatrist to join our office-based practice. jelena@somdfootandankle.com
 
ASSOCIATE POSITION  - SOUTH CENTRAL VIRGINIA
 
30  year  practice. Two office locations. Hospital privileges. 30–40 new patients per month. Seeking well-trained motivated podiatrist. All amenities including  malpractice insurance. Good mixture of general podiatry care /surgery/biomechanics/diabetic management. E-Mail CV to:  footcare2020@aol.com 
 
POSITIONS AVAILABLE - NEBRASKA, MINNESOTA, KANSAS, OKLAHOMA, ALABAMA 
 
Preferred Podiatry Group is seeking providers to join our growing practice servicing long term care facilities in several areas.  We offer a competitive commission based income as well as a benefit package to our employed podiatrists. Full-time and part-time positions are available.  Contact Dr. Chris Kestner at ckestner@ppgpc.com for more details about opportunities with PPG.
 
PODIATRIST WANTED - NORTHERN & SOUTHERN CALIFORNIA
 
Podiatrist needed for practices in both Northern and Southern  California. Professionally managed practice in long term care facilities.  Excellent income potential with discretionary time.  Please send CV and interest letter to dwayne8543@gmail.com
 
ASSOCIATE POSITION - LONG ISLAND/QUEENS
 
Advanced Podiatry Seeking Full Time DPM for upscale practices located at the Americana Manhasset, Huntington and Queens. Excellent work environment and company culture.  Latest technology with digital x-ray, laser, EHR, Ultrasound, the latest Apple software and iPads. Must be surgically trained, motivated, with a great work ethic. Very competitive salary with significant upside. Great opportunity to work in one of the country's premier practices.  Visit www.LIFootCare.com and email evieira1@nshs.edu for more info.
 
ASSOCIATE POSITION – TUCSON, AZ
 
Amazing associate opportunity leading to long-term arrangement/partnership in sunny beautiful Tucson, AZ. Very busy solo podiatry practice with unlimited earning potential. Tons of new patients daily.  Seeking warm, motivated, personable and patient care oriented practitioner. Practice very well known with exploding constant referral sources. argfootdoc@yahoo.com
 
ASSOCIATE POSITION – SOUTH CAROLINA 
 
Physicians Footcare is a multi-doctor, multi-location practice currently seeking a highly skilled, personable, and hardworking physician to join our TEAM. South Carolina License is necessary and next exam is June 2018.  Exam application must be submitted 90 days prior to exam date.  If you are ready to earn a comfortable six figure salary; send letter of interest and CV to: scdpmjobs@gmail.com
 
PM NEWS CLASSIFIED  ADS REACH OVER 18,500 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 18,500 subscribers. For details, click here or write to: bblock@prodigy.net or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at davidekagan@gmail.com  or call (215) 808-0770.
CLASSIFIED ADS PART 2 - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE
PRACTICE FOR SALE - ASTORIA, NYC 
 
This successful modern Astoria, Queens practice is fully equipped. Opportunity to enter practice with established patient base of adults and children, including sports medicine and surgery. Email: astoriapodiatry@gmail.com
 
PRACTICE FOR SALE - NORTH PHOENIX/SCOTTSDALE/ PARADISE VALLEY, AZ 
 
A well established, successful solo practice in a prestigious medical center. Office suite recently built. All aspects of podiatric medical care for adults and children. Excellent opportunity for referrals and continued practice expansion.  Doctor willing to stay and help with transition. Call 602-740-1686 for details.
 
PRACTICE FOR SALE - SEATTLE SUBURB 
 
25 year old sports and family oriented practice located in a highly desirable, affluent and well insured area. For details, reply to: footdoc@aol.com
 
PM NEWS CLASSIFIED  ADS REACH OVER 18,500 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 18,500 subscribers. For details, click here or write to: bblock@prodigy.net or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at davidekagan@gmail.com  or call (215) 808-0770.
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.
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Barry H. Block, DPM, JD
 
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