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PM News

The Voice of Podiatrists

Serving Over 12,000 Podiatrists Daily


April 19, 2010 #3,835 Publisher-Barry Block, DPM, JD

A service of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2010- No part of PM News can be reproduced without the
express written permission of Kane Communications, Inc.

 


PODIATRISTS IN THE NEWS

NY Podiatrist Reports Increase in High-Heel Related Visits

"There is never a shortage of high-heeled women in pain in my midtown Manhattan office, but yes, there is an increase lately," says Dr. Jacqueline Sutera, Doctor of Podiatric medicine and surgery and spokesperson for the American Podiatric Medical Association says. Sutera explains that any shoe with more than a two-inch heel can be dangerous, though certain styles are better than others—like wedges, which are safer because your weight is distributed across a greater surface area.

Dr. Jacqueline Sutera

Minimal use is also key: "What I do (and recommend to my patients) is to wear heels when I get to my office, or event," says Sutera. "And then wear a commuter shoe to and from where you're going." Women who are overweight, have arthritis, or have high or flat arches, will experience more frequent foot and ankle problems. Most common are tendon and muscle strains, hammertoes, bunions, and stress fractures—though long-term high heel wearers could suffer from tendinitis, severe ankle sprains, and torn ligaments and tendons. But many women encounter symptoms after extended high-heel wear. "Pain is your body's way of warning you that something is wrong, and that you should stop wearing the shoes," says Sutera.

Source:  Joanna Douglas, Shine [4/12/10]

Purestride


AT THE COLLEGES

Barry Continues Team Effort to Assist Haiti Earthquake Victims

Several Barry University alumni, professors and resident doctors have taken missionary trips to Haiti to assist with relief efforts after the catastrophic earthquake shook Port-au-Prince on Jan. 12. With more than a million Haitians left homeless, and the death toll above the 200,000 mark, the need for medical assistance as well as basic necessities like food and water remains crucial.

Dr. Thomas Merrill with his residents Zia Mustafa, Victor Herrera, and Mario Cala.

Dr. Thomas Merrill, Dr. Charles Southerland and Dr. Jacqueline Brill provided their expertise in podiatric reconstructive surgery and wound care to dozens of Haitians during their trips. With them were a group of Barry resident doctors from Mercy Hospital: Mario Cala, Zia Mustafa and Victor Herrera and Dr. Sandra Garcia-Ortiz from Mount Sinai Medical Center - all doctors of podiatric medicine – who made the jaunt in order to help with what is considered the vast majority of trauma.


PODIATRISTS IN THE COMMUNITY

NJ Podiatrists Hold Blood Drive

On Tuesday, 4/13/10, Affiliated Foot & Ankle Center, LLP teamed up with the Blood Center of New Jersey to host a blood drive at their Howell office.  Within the 5-hour window that the blood drive took place, members of Affiliated Foot & Ankle Center, patients and members of the community all took time from their day to support a wonderful cause. The much needed blood collected from this drive will be used to provide for many patients, such as premature babies in intensive care, trauma victims, cancer patients, and burn victims.

Dr. Hal Ornstein During Blood Drive

“We feel very strongly about supporting the need for blood and working with the Blood Center of New Jersey. I feel grateful to the many people who came to our drive and gave blood, said Dr. Hal Ornstein. "With this being our first on-site blood drive, I’m excited, and we're looking to have our next blood drive sometime this fall”, said Ornstein. 


QUERIES (NON-CLINICAL)

RE: Stryker Motor Hose
From: Marc Goldberg, DPM
 
Where can one purchase replacement Stryker motor hoses for a Stryker Model 1600 Series? 

Marc Goldberg, DPM, Olney, MD

  Mail to biomedix mail to Image Map


RESPONSES / COMMENTS (CLINICAL) - PART 1

RE: Stainless Steel/Titanium in Same Foot (Vince Marino, DPM)
From: Randall Brower, DPM

The only reason you don't want to mix metals is that the difference in properties of the metals may cause galvanic corrosion ONLY when they are touching each other. In my opinion, there is no harm in mixing metals otherwise.

Randall Brower, DPM, Roswell, NM, randoman33@yahoo.com

Dr Remedy


RESPONSES / COMMENTS (CLINICAL) - PART 2

RE: Tissue Glue for Fissures (Sam Rosen, DPM, NY)
From: Paul Busman DPM, RN

I'd suggest billing the debridement and any other normal services you provide, and forget about the Crazy Glue. I understand the concerns about officially recommending that the patient go to Home Depot to buy "medical supplies," and I used to feel the same misgivings. I told patients something along the lines of "I've heard of people using Crazy Glue for fissures like these," but stopped short of actually making a recommendation. 

Of course, if you use Dermabond or Indermil, that issue is not a problem, but as has been pointed out, these "real" surgical adhesives are prohibitively expensive. Johnson and Johnson makes a liquid bandage which might be of use. Expensive, but a lot less than Dermabond and it's a medically-approved product. I don't know about its tensile strength for heel fissures though.

Paul Busman, DPM, RN, Clifton Park, NY, brewerpaul@aol.com

Pinpointe


RESPONSES / COMMENTS (OBITUARIES)

RE: The Passing of Martin L. Mintzer, DPM
From: Burton J. Katzen, DPM

I was very sorry to hear about the passing of Dr. Mintzer. Even though I opened my office directly across the street from him in Temple Hills, Maryland in 1972, Dr. and Mrs. Mintzer were always extremely helpful and courteous to me and never failed to answer any questions I had as a new practitioner. My deepest sympathy to James and the rest of the Mintzer family. Dr. Mintzer was a true gentleman and a credit to the profession.
 
Burton J. Katzen, DPM,  Temple Hills, MD

 


RESPONSES / COMMENTS (NON-CLINICAL) - PART 1

A Gratifying Day in My Office
From: Elliot Udell, DPM
 
Eight weeks ago, a patient came into my office to have a painful nail treated. While he was putting on his shoes, he asked me to do him a personal favor. He had a nevus on his chest and his family doctor and a dermatologist told him it was benign. He has many nevi and he has an annual dermatology exam. This one was bothering him. I explained that my scope of practice limits me to feet, but out of courtesy to him I would take a look and give him my unofficial third opinion. I took out my dermatoscope and examined the lesion. It had all of the textbook hallmarks of a potentially malignant lesion. I told him to rush to his dermatologist. I gave him a note requesting that the dermatologist take a biopsy based on what I observed through the dermatoscope.
 
Today, he came back to my office. The dermatologist took the biopsy. It was a melanoma. He required a wide excision. The lesion was excised entirely, and he thanked me for saving his life. 
 
Elliot Udell, DPM, Hicksville, NY, Elliotu@aol.com

IUHS


RESPONSES / COMMENTS (NON-CLINICAL) - PART 2

RE: Medicare Fee Cuts (David J. Freedman, DPM)
From: Multiple Respondents

My classmate's post is timely, relevant, and urgent! Unfortunately, the media says very little about this reduction, and most patients whom I speak to are oblivious to it and are genuinely concerned, once educated.

I would like to add another point to Dr. Freedman's excellent post. Aside from how these cuts will affect physicians (a positional-based perspective), our patients need to know how it might affect THEM (an interest-based perspective). Now, this will likely be different for each practice, but some outcomes might include reduced availability and accessibility, reduced services, complete elimination of certain services, etc. Patients need to know how such a cut will affect them directly. This will optimize the education and highly motivate patients to get involved.

John V. Guiliana, DPM, MS, Hackettstown, NJ, footmds@aol.com

Thank you, Dr. Freedman, for your posting. I was unaware of the AMA's patient action member’s hotline where they will send out newsletters informing the public about issues and directly connect you to your federal representatives.

I belong to the APMA; that's the association that sends me e-mails, lately once a week, increasing my stress levels about Medicare reducing my rates by 21%. APMA asks me to contact my local representatives. I think there would be more to do than that, but have not received any other information to be proactive other than contacting my local representatives. Hopefully, that is enough. I dare wonder what my association’s back-up plan is.
 
Jeffrey Kass, DPM, Forest Hills, NY, jeffckass@aol.com

Correct me if I am wrong. This past January, Medicare payments were held for ten days. Again in March and April, Medicare payments were put on hold for ten days while the politicians decided if we should have a 21% reimbursement cut. With the temporary fix going up for vote again in May, I expect to see another Medicare delay. I do not feel that telling my patients about the problem is going to fix anything. Would it be possible, and I am asking everyone who is reading this, to file a class action law suit against the federal government and Medicare.

I feel that I am being treated unfairly and that medical practitioners in general are being discriminated against. What other profession is as closely regulated as physicians? People without our education, intelligence, and education are telling us how to treat patients and how much we can charge. A lawsuit {should be filed} requesting fair treatment and regulation by a party of our peers and  seeking the removal of the private health care that our politicians enjoy. I think we would see a rapid and successful response. I am tight on funds, but I would put up a thousand dollars.

Wm. Barry Turner, BSN, DPM, Royston, GA, claret32853@gmail.com

Mail to Cozzarelli Ultrasound

RESPONSES / COMMENTS (NON-CLINICAL) - PART 3

RE: Aren’t We Worth More? (Bret Ribotsky, DPM)
From: Bob Kornfeld, DPM

As far as I see it, the biggest problem this profession faces is complacency and lack of proactive thinking. Even though the Medicare fee reduction of 21.2% has been reversed, the time for action is NOW! I have been very passionate about urging everyone to drop out of their network contracts for years. Few, if any, have done so. I wrote an article which appeared in PM last year giving a very detailed approach on how best to become an out-of-network podiatrist, based on my decade of experience non-par. I received only ONE e-mail afterwards from someone who was willing to step into a better future. This podiatrist has followed the recommendations and thanks me for liberating him from insurance company control of his practice.

I have continually lauded the benefits of a niche practice. I receive countless e-mails from podiatrists who really want to learn more about integrative medicine so that they can keep pace with the public's demand for safer, natural therapies; and at the same time carve out a niche so they can become autonomous physicians. I have advertised our seminar (The Institute for Integrative Podiatric Medicine - June 12 and 13 in Long Island) through e-mails and on PM News this week. The response has been dismal. So, I see and hear from many podiatrists who are very unhappy, not making the living they expected, practicing with far more stress than they ever anticipated, yet are unwilling to step outside their comfort zone and make the changes so sorely needed. If you do not want to invest in the profession that you know best and take action steps, I foresee a very disappointing future for you.

Do not rely on Congress or insurance companies to secure your future. Do something about it.
 
Bob Kornfeld, DPM,  Manhasset, NY, Holfoot153@aol.com

MEETING NOTICES - PART 1

ISMST


DLS


RESPONSES / COMMENTS (JURY VERDICT REPORTER)

RE: Accountability of Expert Witnesses  (Rob Lagman, DPM)
From: David E. Gurvis, DPM

In my state, Indiana, we also have a panel system. The plaintiff nominates a physician, the defense does the same, and those two then choose a third. Frequently one of the members is an orthopedic surgeon, but not necessarily. The original thought was...

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

MEETING NOTICES - PART 2

SeattleSupersaver NWPF


RESPONSES / COMMENTS (YOU CAN'T MAKE THESE THINGS UP)

RE: Want to Join the Barefoot Running Club? (Kevin A. Kirby, DPM)
From: Ira Meyers, DPM

I have had many patients ask about barefoot running. Chris McDougall the author of Born to Run must have a great publicist. However, there is one so-called study that he cites in his book that almost any level runner can relate to. According to a study mentioned in his book, a 65 year old male is equivalent to an 18 year male in the marathon. My 50 year old body would love to be able to run my 18 year old times. I don't expect to improve that much over the next 15 years. Tell that to any runner, and that book loses almost all credibility!

Ira Meyers, DPM, Huntingdon Valley, PA, idmrun@aol.com

CODINGLINE CORNER

CURRENT TOPICS BEING DISCUSSED ON CODINGLINE'S LISTSERV INCLUDE:

o Denied Excision of Supernumerary Digit
o Secondary Insurer Pays Less than Medicare
o Medicare Denial of Unna Boot
o BCBS Provider Specialty Denials
o Encounter Documentation for SNF Visits 

Codingline subscription information can be found here
APMA Members: Click here for your free Codingline Silver subscription


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You Can Now Take Tests and Print Your CME Certificates Online

CLASSIFIED ADS

ASSOCIATE POSITION – MICHIGAN

Well established practice in Southeast Michigan suburbs seeking full time associate. Must be ethical, personable and professional. This is a solid opportunity for a PSR-36 graduate or experienced practitioner. Must be able to diagnose and treat everything from general podiatry to reconstruction of severe deformities of the foot and ankle. The practice is currently maintained by two board certified surgeons. This practice is residency affiliated. Please forward current location and availability with C. V. to HKANEDPM@gmail.com

CANADIAN PODIATRISTS COME BACK HOME!

An Edmonton, Alberta group of DPM’s requires an additional Podiatrist. Interest in biomechanics essential. Given Canadian visa restrictions, this position is open only to Canadian Citizens or permanent residents. Very attractive compensation package. Fax C.V. or letter of interest to: (780) 483-5796.

ASSOCIATE POSITION FULL-TIME - SUBURBS OF CHICAGO

PSR 36 - month-trained podiatrist needed for busy suburban Chicago practice. Full benefit package included. If interested, please email your curriculum vitae to foot1st@yahoo.com

ASSOCIATE POSITION - TEXAS

Dynamic, growing practice in Dallas/Fort Worth area, seeking surgically trained, Board Certified/Board Qualified Podiatrist. Excellent salary and benefits compensation package, for the right candidate, with partnership/buyout opportunity. Contact/Send resume to: jmh6122@yahoo.com Texas Podiatry License Required.

ASSOCIATE POSITION - SOUTHWESTERN PA

Suburban Pittsburgh. To work in an established practice and also a new office scheduled to open in August 2010. Future partnership buy-in possibilities. Rearfoot credentials needed to expand the established practice, and to maximize the potential in the new practice. Competitive salary, benefits. 724-337-4433.

FULL-TIME PODIATRY OPPORTUNITY - BOSTON, MA

HealthDrive is seeking a caring podiatrist to join our group practice. We currently have a FT non-surgical opportunity available in the Boston, MA area. We offer a competitive salary, Paid malpractice Insurance, health and dental Insurance, long & short term disability, flexible schedule (No weekends), established patient base, equipment, supplies and complete office support provided. If interested in this opportunity, please call Maria Kelleher (toll free) at 877-724-4410 or email caring@healthdrive.com

SEEKING ASSOCIATE POSITION – WESTERN STATES

PSR-36 trained podiatrist seeking position in western states esp. CA, WA, or UT (Current licenses in these states). Finishing a sports medicine fellowship in July. Patient-oriented and ethical podiatrist. Ideal situation would be mutually beneficial relationship with a diverse practice. Please contact me at sportsmedpod@gmail.com

ASSOCIATE POSITION – GEORGIA

Immediate opening for a surgically-trained individual for associate position in northern suburb of Atlanta. Hospital privileges available. Position could lead to partnership or purchase of practice. Send resume and CV to pd751@hotmail.com

PRACTICE & BUILDING FOR SALE - MIDDLE TENNESSEE

Two locations each with 3 exam rooms, x-ray room, large waiting room, and ample parking. Excellent locations and growth potential. All equipment and furniture included. Website and marketing material included. Seller happy to assist with transition. Priced to sell with financing available 250k. Call 931-446-5724.

ASSOCIATE POSITION – NEW YORK

Podiatrist Needed Immediately - RFC only. $45/hr working for the state prison system. Clean and safe. Easy money to help pay the bills. Several shifts available. If interested, E-Mail hansfeet@aol.com

HOME FOOT CARE PHYSICIAN NEEDED-LOS ANGELES, CALIFORNIA

Honest, caring, hard-working podiatrist needed to make visits to homebound patients, facilities, etc. for Home Foot Care, Inc. Part-time position, flexible hours, independence and excellent compensation. If interested email CV to homefootcare@hotmail.com or call Terri at 323-353-8103.

PM News Classified Ads Reach over 12,000 DPM's and Students

Whether you have used equipment to sell or our offering an associate position, PM News classified ads are the fastest, most-effective way of reaching over 12,000 DPM's. Write to
bblock@podiatrym.com or call (718) 897-9700 for details. THIS OFFER DOES NOT APPLY TO BUSINESSES PROVIDING PRODUCTS OR SERVICES. Note: 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.
Guidelines
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Barry H. Block, DPM, JD
 
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