The Voice of Podiatrists

Serving Over 13,500 Podiatrists Daily

August 17, 2012 #4,542 Publisher-Barry Block, DPM, JD

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TX Podiatrist Discusses How to Buy Athletic Shoes

If podiatrist Dr. Danny Wheat had his preference, more of us would be wearing athletic shoes. Wheat has a few things he thinks people should look for when they buy athletic shoes. "The heel counter should be running vertical to the ground," he said. "And the heel cup should give you support. If you push down on it, you shouldn't be able to crush it all the way to the sole."

Dr. Danny Wheat

Wheat added that the sole should bend at the ball of the foot and not at the arch. Also, because most of us have an inward curvature of our foot at the small toe, our shoes should have an in-toed or a straight last, which refers to the shape of the shoe. "If you get an out-toed last, you're going to be fighting that shoe all the time," he said.

Source: Scott Kirk, Reporter-News [8/14/12]

OH Podiatrist to Join Avita Orthopedic Center

Samantha Bark, DPM, will join the medical staff of Avita Health System's Orthopedic Center. She is a fellowship-trained podiatric foot and ankle surgeon. She will care for patients with a variety of foot and ankle conditions, varying from common conditions to complex reconstructive cases.

Dr. Samantha Bark

Dr. Bark completed her first fellowship in reconstructive foot and ankle surgery at the Palo Alto Medical Foundation in Mountain View, CA, and went on to complete a second fellowship in limb lengthening and deformity correction at the Rubin Institute for Advanced Orthopedics in Baltimore, MD.

Source: Mansfield News Journal [8/15/12]

Show Off Your Staff

While taking a walk around the Pittsburgh Airport Marriott, I saw a sign that stated something to the tune of, “Though this door walks the city’s best employees”, hung where all employees enter. We had a similar sign made for our office for when our office TEAM enters at the beginning of their workday and leaves at the end. It’s a simple, yet powerful way to recognize your #1 asset…your staff! 

Hal Ornstein, DPM, Howell, NJ

Speak Clearly to Project Professionalism

Project professionalism by speaking clearly. Check your voice-mail message to make sure you aren’t saying “Gonna” instead of “Going to” and “Didya” when you mean “Did you.”

Source: Adapted from “Is Your Diction Affecting Your Professional Image,” Barbara Pachter, Pachter’s Pointers, via Communications Briefings

Query: Scope of Practice

I work for a large multispecialty clinic. We have recently implemented our EMR system. This system was built for family practice/internal medicine and has been revised for the specialties. In this system, there is a “best practices” section that comes up if a patient is not at ideal BMI. Is it out of scope of practice for a podiatrist to ask questions about BMI, and then provide counseling?

Theresa Hughes, DPM, Galesburg, IL

Query: Podiatry-Specific Template for Amazing Charts

To my colleagues who are using Amazing Charts (AC) EMR , has there been any addition to the template list that is specific for podiatry? I am considering implementing AC, but am concerned that putting together my own templates could be a daunting task. Also, as far as exam room hardware, is a tablet PC with touchscreen a plus?

David L. Kahan, DPM, Sacramento, CA

Query: Source for Surgical Shoes
 
I am curious as to where my colleagues order their surgical shoes. I routinely use plain flat surgical shoes as well as the ortho-wedge style surgical shoes, which seem to be much more expensive than the flat ones.

R. Alex Dellinger, DPM, Little Rock, AR

RE: Chronic Charot Foot (Stephen S Pirotta, DPM)
From: David Taylor, DPM

I apply the "keep it simple" philosophy with Charcot joint surgery. Most of the time, a TAL/gastroc lengthening with an aggressive planning of the prominent bone(s) works well. There's no reason to remove the entire cuboid. Just plane the bone down with osteotomes and rasps until it's no longer sticking out. I like to use my fingers to feel the bones rather than use a C-arm to visulaize it. I typically use a lateral incision along the CC joint.

David Taylor, DPM, Flint, MI, dttaylor_19@yahoo.com

RE: Chronic Charot Foot (Stephen S Pirotta, DPM)
From: Neil H Hecht, DPM

First, it appears that there may be a posterior tibial fracture on the lateral x-ray (Incidental finding or rotated fibula?).
 
On the x-rays presented, the “marker” appears under the cuboid prominence and maybe the 5th metabase on the lateral view. The “AP” view does not show this, but the view or the foot is skewed.
 
Removal of the cuboid would undoubtedly destabilize the...

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

RE: Verrucous Carcinoma (Elliott Udell, DPM)
From: Charles Morelli, DPM
 
I do not know what the literature states regarding Dr. Udell's specific question, but what I know is from what I learned as a student, as a resident, and as a practitioner for the last 22 years. A wart is a local low-grade lesion that is confined to the dermis. If left untreated, it will follow a "chronic course" (as stated in the literature). Usually one has to wait up to 12-15 years (if I recall correctly) to be able to make a diagnosis of verrucous carcinoma, but these lesions "can" transform themselves into a carcinoma. I remember as a resident doing a BKA, and while in private practice, amputating part of another patient's foot. I don't  think either of them cared what the literature said.
 
Charles Morelli, DPM, Mamaroneck, NY

RE: Verruca Treatment in an Immunocompromised Patient
From: Catherine Wu, DPM

I would like to clarify the previous post that the diagnosis of verruca vulgaris has been confirmed by shave biopsy. The lesion is painful and there is no hyperhydrosis present. I have treated him for less than 6 months without much improvement. My medical supplier does not carry Canthranone. I will try to convince the patient to take some time off and proceed to either laser or surgical excision. Thanks for all the replies and comments.

Catherine Wu, DPM, ccwu68@yahoo.com

RE: Barry Professor Co-Authors Article in The Lancet
From: Wenjay Sung, DPM

Congratulations to Dr. Robert Snyder of Barry University on his article in the Lancet. His example will continue to help push the podiatric profession toward higher quality research in the foot and ankle. Bravo!

Wenjay Sung, DPM, Chicago, IL, wenjay.sung@gmail.com

EQUIPMENT WANTED - DIGITAL X-RAY MACHINE

We are looking to buy a used digital x-ray machine- Please contact me at:  HowardBeachPod@aol.com or call (646) 401-3563 Preferred Unit: Fujifilm, FCR XL-2 Lite w/Genesis Viewing Software for 2 licenses.

EQUIPMENT FOR SALE - PINPOINTE LASER

PinPointe Laser for sale. All accessories included. In service since 2008. Service policy in place, fully transferable. $35,000. tatarb@verizon.net.

EQUIPMENT FOR SALE - USED PODIATRIC LASERS

Great price, great outcome. Stop wasting money on expense lasers. Personally owned and used few hours in my office,. 10 and 30 watts lasers. Two handpieces in one. First one for plantar fasciitis, Achilles tendonitis, arthritis, pain, inflammation. 2nd handpiece for surgical ablation and fungus toenail conditions. Portable fast and very cost-effective: footcare@comcast.net

EQUIPMENT FOR SALE

Retiring from practice. Equipment For sale. Mini x-ray. One year old Ultrasound with MS arterial/venous X-ray plates. Great condition Ritter chairs. Drills, surgical tools. So much. Just ask, I probably have it: Footcare@comcast.net

PRACTICE FOR SALE - SOUTHWEST FL

multilocation multidoctor practice in beautiful Southwest Florida . Practice has grossed over seven figures consistently and currently shows 10-15% growth in revenues with increase in new patients and patient visits. EHR is already implemented with meaningful use criteria met. Practice has been professionally evaluated by Provider Resources. Only serious inquiries to this email address. This is a great practice in Paradise and a good opportunity for the right doctor or doctors. Email to: practiceforsaleswfla@gmail.com.

PRACTICE FOR SALE - BALTIMORE, MARYLAND

Established 40+ year old well-rounded practice of both surgical and non-surgical care with special emphasis on sports medicine. Medicare and BS/private insurance base, no Medical assistance. Needs to transition to a confident well trained individual. Purchase can include building. Contact: podiatrypracticesale@gmail.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. Also availability E 22nd between 2nd and 3rd and E 70th off 3rd. Turn-key operation - no investment needed 516 476-1815  PODO2345@AOL.COM

ASSOCIATE POSITION – SUFFOLK COUNTY, LI

Well-rounded podiatry practice. A business-oriented, mature board eligible/certified podiatrist who is not just looking for a job, but a secure future. Equity position possible. 2 hospitals available. No nursing homes. Competitive package. Please send CV to 631-581-0857.

ASSOCIATE POSITION - NORTHWEST IOWA

A well-established, midwest multi-physician practice with strong hospital affiliations seeking FT podiatrist. Applicant should be well trained surgical physician, completed a 12/24 month residency, & board eligible. Practice offers high surgical volume, advanced wound care and good mix of general podiatry. Competitive salary, excellent benefits. Fax resume: 712-258-9977

ASSOCIATE POSITION – NEW YORK

Great opportunity to share “state-of-the-art” offices and equipment in mid-town Manhattan and White Plains with Board Certified podiatrist. Out-of-network or participating providers welcome. Please call 212-704-4310 for additional information and fax your CV to 212-704-4311.

ASSOCIATE POSITION - LOUISVILLE, KY

Immediate position for established practice in excellent location with option to buy. All phases of podiatry with good mix of patients. Two local residency programs with foot and ankle and trauma privileges. Office has EMR qualifying for meaningful use in the first year. PADnet vascular testing. Send resume to: samuel10530@yahoo.com.

ASSOCIATE POSITION - NORTHERN, NJ

Part-time or-full time. This position can and will lead to purchase of practice if so desired. Well-equipped modern office. Digital x-ray, ultrasound, etc. Individual must be well-trained and be ABPS Qualified/Certified. Must be competent in general foot care and be able to do routine foot surgery without help. Call: 201-986-1900.

ASSOCIATE POSITION - WASHINGTON, DC

Prominent two office (3 practitioner) podiatric medical group seeking well rounded, personable individual with good medical and surgical skills. Must be 24/36 month trained, board qualified or certified foot and ankle surgeon. Salary with benefits package. Serious inquiries to ponyrunner66@gmail.com

ASSOCIATE POSITION - NASSAU COUNTY, NEW YORK

Exciting Opportunity! Associate position. Must be Board Qualified. Joining all Board Certified Doctors in foot surgery and reconstructive rear-foot and ankle surgery. Respond to: Podiatryoffice@doctor.com

ASSOCIATE POSITION - MANHATTAN

Podiatrist needed for busy state-of-the-art offices in Manhattan. Offices are located near Penn and Grand Central Station. 10+ years experience only and an out-of-network doctor for most insurances. Please forward your information and CV to: roni@myfcny.com

ASSOCIATE POSITION - YONKERS, NY

Immediate part-time associate position now available. Appx: 3 1/2 days per week with room to grow. Practice is a good balance of all aspects of podiatric foot care, including surgery. Perfect opportunity for new graduate, or experienced podiatrist. Looking for the right person to transition into vacancy that will be left by current associate leaving the area and you will have an immediate, full schedule of patients. Over 25 year well-established practice with large referral base, and both hospital and surgery center privileges available. Interested persons please forward CV and brief summary of surgical log to: Podiodoc@gmail.com  914.584.1434

ASSOCIATE POSITION - OHIO

Ohio practice with excellent reputation and patient base seeks to hire a Podiatric Surgeon. The offices are state of the art including Digital X-Ray, EMR, Diagnostic ultrasound, Padnet Vascular Testing, CO- 2 Lasers all aspects of DME. The base salary is $120,000 with a bonus structure and benefits also would like to have this individual buy into the practice eventually. Please send CV to: Ohiopodiatrist@aol.com

ASSOCIATE POSITION – NORTHERN CALIFORNIA/BAY AREA

We’re looking for someone entrepreneurial who can help grow our practice. Must have great people skills, clinical/surgical skills, and positive demeanor. California license required. Send your CV and cover letter to cvpodiatrist@gmail.com

ASSOCIATE POSITION - NEW YORK CITY & QUEENS

High Income Potential. One of the fastest growing podiatry practices in New York City and Queens seeks a hard-working podiatrist who participates with HealthFirst, Fidelis, and other Medicaid plans. Contact me at: podocare123@gmail.com

ASSOCIATE POSITION - WEST COAST FLORIDA

Outstanding opportunity for PSR-36 graduate to join successful group podiatry practice. Seeking a sociable, articulate graduate who is confident in foot and ankle surgery but also enjoys all phases of podiatry. Long-term opportunity for the right candidate with generous pay and benefits. Reply to: jwicks@cortezfootandankle.com

PM News Classified Ads Reach over 13,500 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 13,500 DPM's. Write to:bblock@podiatrym.com or call (718) 897-9700 for details. Weekly ad rates start as low as $115 for a 50-word ad. THIS OFFER DOES NOT APPLY TO BUSINESSES PROVIDING PRODUCTS OR SERVICES. Note: For commercial or display ads contact David Kagan at (800) 284-5451.

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