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PM News

The Voice of Podiatrists

Serving Over 11,000 Podiatrists Daily


July 04, 2008 #3,289 Editor-Barry Block, DPM, JD

A service of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2008- No part of PM News can be reproduced without the
express written permission of Kane Communications, Inc.

Aetrex Announces iMatch Promotion

Aetrex iStep technology captures the 3 Essentials for Customized Comfort; foot size, arch type and pressure distribution. This information is then utilized to custom select the Lynco orthotic and footwear that best matches the foot.

Patients who purchase both the shoe and Lynco at the same time will receive a free one year subscription to the magazine of their choice from a group of 10 major lifestyle publications. Patients receiving shoes and orthotics from Medicare are not eligible.

Click here for program details and to order iMatch booklets.
Click here to view a demo of the iStep and Evolution-RX program designed for Podiatrists or call Aetrex at 800-526-2739.


PODIATRISTS IN THE NEWS

IN Podiatrist Warns on Long-Term Effects of Wearing Flip-Flops

The popularity of flip-flop sandals has some experts concerned about the long-term effects on your feet. These inexpensive shoes can have a costly effect if worn excessively over time, according to Muncie podiatrist Dr. Matthew Dewitt.

Dr. Matthew Dewitt

“I think over time we’re going to see more people coming in with bunions, hammertoes, flat foot and general arthritic problems just from basically going barefooted in flip-flops,” Dr. Dewitt said.

Dr. Dewitt recommends saving your flip-flops for the pool. He also recommends wearing tennis shoes with good arch supports when walking long distances.

Source: Tiffany Taylor, Newslink Indiana [7/2/08]

Aetrex Announces iMatch Promotion

Aetrex iStep technology captures the 3 Essentials for Customized Comfort; foot size, arch type and pressure distribution. This information is then utilized to custom select the Lynco orthotic and footwear that best matches the foot.

Patients who purchase both the shoe and Lynco at the same time will receive a free one year subscription to the magazine of their choice from a group of 10 major lifestyle publications. Patients receiving shoes and orthotics from Medicare are not eligible.

Click here for program details and to order iMatch booklets.
Click here to view a demo of the iStep and Evolution-RX program designed for Podiatrists or call Aetrex at 800-526-2739.


INTERNATIONAL PODIATRISTS IN THE NEWS

Summer Footwear is a Balance Between Fashion and Comfort: Canadian Podiatrist

Blisters are a common problem with summer footwear, but often go unnoticed until you've been on your feet for a while, says podiatrist Dr. Julie Enrico at the Associated Foot Clinic in Edmonton. "Protect the skin before they blister," she warns. "If you know that you have a tendency to get rubbing on the heel or straps you should get blister protection pads."

Dr. Julie Enrico

Enrico acknowledges that women do have to find a balance between looking feminine and feeling comfortable. Dressy sandals are better for your feet, she says, if they have a thicker, more flexible sole and a lower heel. But a lot of the time, "you have to find what looks good first and then kinda find what's comfortable."

The Naot sandals are not as bulky as Birkenstocks, and they're a little more feminine looking," says Enrico. "They're not as dressy but for everyday walking, (something) more casual, those are really good."

Source: Jennifer Fong, Canwest News Service [7/2/08]

Looking for………………………

The same high quality products that you have come to expect after 39 years?
5 day delivery for maximum convenience?
The same familiar biomechanical consultants providing top-notch Customer Service?
One company to handle all of your custom and non-custom foot care needs?
Custom Orthotics, AFO’s, Therapeutic Footwear, and Soft Goods?

You’ve come to the right place!
Langer will be with you every step of the way

Call us about our new Products and Footwear Catalogs
***1-800-645-5520***
Come visit us at booth 826 at the APMA National in Hawaii


HEALTHCARE NEWS

Prime Healthcare Faces Lawsuit Over Balance Billing

California regulators are suing Prime Healthcare Services, a Southern California hospital chain, to stop it from seeking payment from HMO patients for unpaid medical services, a practice known as balance billing. The state Department of Managed Health Care (DMHC), which regulates HMOs in California, filed the lawsuit in Orange County Superior Court. The action seeks a court order prohibiting Prime Healthcare from engaging in alleged balance billing, and penalties of up to $2,500 per violation.

The state alleges that Prime Healthcare has billed thousands of emergency room patients for outstanding payments, using its own collection agency to seek reimbursement. About 6,000 Kaiser Permanente patients have received collection notices from Prime Healthcare, and in May, Kaiser won a temporary restraining order to halt the practice while its own case against Prime Healthcare moves forward.

Prime Healthcare said in a written statement that “this frivolous suit is not about the actions of one provider but the failure of the DMHC to do its job to regulate HMOs and provide assistance to providers who have the right to be reimbursed properly for emergency services rendered to HMO enrollees.” The DMHC has issued draft regulations that would ban balance billing for emergency services, but those rules are not yet final.

Source: Rebecca Vesely, Modern Healthcare [7/2/08]

PRESENT for BOARD REVIEW
PASS THE BOARDS !

Study at your own pace from your home or office, using state of the art online technology, for certification or recertification exams. Comprehensive curriculum of 125 lectures by the most well respected teachers in the country. Get your best chance of passing the Boards. Includes Boards by the Numbers 2008 at no additional cost, and mentoring lectures that teach effective strategies for answering difficult oral and text questions.

Maximize the efficiency of your Board Review efforts utilizing state of the art rich e-learning technology
CME credit for all 125 hours of lectures
• Most comprehensive board review available
Call 888 802-6888 or go to our website and join the many of your colleagues who are already using this revolutionary teaching tool.


PRACTICE MANAGEMENT TIP OF THE DAY

Improve Staff Meetings

“What are the three most important things we need to cover in this session?" Limit the agenda to those items. Anything else, by definition, was not that important; so don’t waste the group’s time.

Source: Adapted from Conducting Effective Business Meetings by Doug Staneart

MEETING NOTICES

Register Before July 11th for ACFAOM’s Annual Clinical Conference

The American College of Foot & Ankle Orthopedics & Medicine (ACFAOM) will hold its Annual Clinical Conference at the Buena Vista Palace Hotel and Spa, in Downtown Disney, from August 14-17, 2008 and early-bird registration ends on July 11th. The Conference is designed for the general practice podiatrist with a strong desire to enhance clinical skills, incorporate additional patient services, and bill for maximum reimbursement. The Conference will help you make sure you have a growth-oriented, clinically satisfying, and financially healthy practice.
1. Conference includes: 27 CME Contact Hours
2. Dynamic morning lecture tracks and hands on innovative afternoon clinical workshops
3. Beautiful Buena Vista Palace Hotel and Spa with exceptional room rates and directly rates across the street from Downtown Disney
4. Free transportation to Disney Attractions for Buena Vista Hotel guests.
5. Significant savings on all Disney World Attractions
6. For more information or to register call (800) 265-8263 or or click here


'For a list of all meetings go to: www.podiatrym.com/meetings.pdf


QUERIES (CLINICAL)

Query: Paronychia in a 6 Week Old Infant

I have a 6 week old infant with paronychias of both halluces. The mother states that the infant was born with this problem. The distal aspect of the toe has granulation tissue present preventing the nail plate from growing out. I started cortisporin otic solution and daily soaks. Short of performing surgery to remove/remodel the distal aspect of the toe, any pearls would be appreciated.

Stuart W. Honick, DPM, Hammonton, NJ

You have a choice when it comes to your Professional Liability insurance

The Podiatry PLUS Policy, underwritten by ACE American Insurance Company (“ACE”), provides comprehensive professional liability coverage designed specifically for the podiatric practice.

Find out why more than 1,000 podiatrists have already placed their trust in Podiatry PLUS and ACE with hundreds more following each year. Visit our website to learn more about the features of Podiatry PLUS and to obtain a no obligation premium indication.

You have a choice: Make the move to Podiatry PLUS and benefit from premier professional liability insurance underwritten by a financially sound insurance company, quality risk management services, and superior claims handling - all at an affordable price – or settle for something less.


RESPONSES / COMMENTS (CLINICAL) - PART 1

RE: Large Post-op Shoe (Jeffrey Kass, DPM)
From: Multiple Respondents

I have a patient who wears a size 17, and I was able to fit him into a Darco Body Armor Walker II. This was the only walking boot I could find that would fit him. Gill carries them in both a high and low model. It *might* fit a size 18, but definitely test fit it before dispensing. If that doesn't work, another option would be to put him in a short-leg walking cast, or perhaps a slipper cast.

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

Depending on the procedure, use the old time-honored “slipper cast” or simply a BK cast.

Tip Sullivan, DPM, Jackson, MS, tsdefeet@msfootcenter.net

Consider a posterior splint with fiberglass or fashion a foot cast.

Simon Young, DPM, NYC, NY, simonyoung@juno.com

FREE Pair of AFO Socks from SureFit®

Celebrating the addition of the new Richie Gauntlet™, SureFit is offering a FREE Pair of AFO Socks* with every Richie Brace ordered during July 2008.
• New Richie Gauntlet utilizes non-weight bearing cast for better heel and arch contours
• Richie Gauntlet features medial and lateral arch suspender to provide legitimate varus/valgus control of the hind foot.

SureFit® , a Richie Podiatric Lab Partner, will assist you with every aspect of Richie Brace® treatment from casting instructions through billing information.

Call SureFit® at 800.298.6050 to order any Richie Brace! *not valid with any other offer; expires July 31, 2008.


RESPONSES / COMMENTS (CLINICAL) ACTIVE - PART 2

RE: Protocol for NAOH (Marta Losa Iglesias)
From: Marc Katz, DPM, Name Withheld

Marta, I did reflect on your words and conclude the following. All patients are different and unique and all doctors are different and unique, that's a fact. We all commented on the same basic procedure and they all were very similar with minor modifications to accommodate the unique patient and the unique Dr. We are all doing the right thing. Or do you believe that the procedures explained by Rounding and Bloomfield are the only answer? I believe that matrixectomies are proven straightforward procedures that do not require any new extensive research.

Marc Katz, DPM, Tampa, FL, dr_mkatz@yahoo.com

I applaud Ms. Inglesias' suggestion that our profession would benefit from investing in evidence-based medicine. I feel much more comfortable offering treatments based on solid research and hard science. Institutions like Scholl's CLEAR center are the future of our profession. Cochrane Data Base is an excellent suggestion for finding the most up-to-date information available on clinical questions. Registration is free. Thus, I recommend to other doctors considering a switch to a new method of treating ingrown nails the following:

Sodium Hydroxide Chemical Matricectomy for the Treatment of Ingrown Toenails: Comparison of Three Different Application Periods Viewed at: http://podiatrym.com/go.cfm?n=210

Frankly, I get a great deal of value out of hearing the experiences of my colleagues. Some opinions offered are based on many years of clinical experience. I feel the criticism offered was both harsh and unnecessary. Please continue to provide a forum for practitioners to seek advice and benefit from the experience of others.

Name Withheld

CODINGLINE CORNER

CURRENT TOPICS BEING DISCUSSED ON CODINGLINE'S LISTSERV INCLUDE:

o Senate Fails to Take Up Fee Cut Legislation
o Repair of STJ Cyst and Os Trigonum
o Continuing Care Supervision
o Collection of Co-Payments in PO Period
o Podiatrist and Nursing Home Visits

Codingline subscription information can be found here


RESPONSES / COMMENTS (NON-CLINICAL) ACTIVE - PART 1

RE: Automatic Processor (Vincent L.Travisano, DPM)
From: Dan Klein, DPM

I have used the 2010 All Pro processor for over 10 years. It takes little maintenance and has been a workhorse for my office.

Dan Klein, DPM, Fort Smith, AR, toefixer@aol.com

PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME

You can Earn 30 CPME-Approved CME Contact Hours Online
Earn 15 Contact Hours for only $139
(Less than $14 per credit)
http://www.podiatrym.com/cme.cfm
Choose any or ALL (30 CME Contact Hours) from the 20 CME articles posted
You Can Now Take Tests and Print Your CME Certificates Online

CLASSIFIED ADS

PRACTICE FOR SALE WA STATE: BELLINGHAM - WITH ASC

Located by hospital and medical community. Owner will carry part of financing. Potential for increased revenue abounds. This is a value that should not to be overlooked. Bellingham is rated in national magazines as one of the most desirable places to live or retire. 386 597-5766.

ASSOCIATE POSITION - CALIFORNIA

Central Valley/Southern CA. Salary excellent with all paid benefits/incentives including malpractice/401k and profit sharing. Surgery Center and hospital based with no HMOs/no rest homes. Bilingual in English and Spanish. Offering a permanent position/partnership in a multi-million dollar hi-tech practice. E-mail CV to: Tonya@wetreatyourfeet.com

ASSOCIATE POSITION – CHICAGO AREA

Join one of the most successful, long-established podiatry practices in the Chicago area, with excellent salary and benefits. We have an immediate opening for full-time podiatrist in a multi practice location
in the Chicago land and Northwest Indiana area. Must have two years of surgical residency. Please e-mail resume to
d-kitchens@footexperts.com

CASE CONSULTING

Dennis Shavelson, DPM is now accepting referrals of difficult cases involving biomechanics, surgical complications, non-healing wounds diagnostic and treatment dilemma’s and subtalar stenting from DPM’S. Full reporting with second opinion only, rapid return after care and assumption of care options. Medicare and Out-of-Network Only. (212) 288-3668 or drsha@lifestylepodiatry.com

IMMEDIATE OPENING - MINNEAPOLIS, MN

Associate leading to partner in well-established practice. Seeking personable, skillful, and attentive podiatrist. No nursing homes, evenings or weekends. Competitive compensation package including health insurance, malpractice, short term disability, 401(k), generous vacation, paid holidays, and excellent salary plus bonus! E-mail cover letter and CV to jbremer@associatedpodiatrists.com or fax to (612) 866-5875 attn: Jennifer Bremer

ASSOCIATE POSITION - BOSTON, MA

Associate wanted, Full-time or part-time, for busy long time, well established, and well rounded practice. Good mix of general podiatry and surgery. Office will generate approximately 100+ surgical cases per year. Must have surgical background for this practice, ABPS Qualified minimum needed to obtain hospital privileges. Associate position is open for partnership or purchase. Contact robert.nunberg@comcast.net

PODIATRISTS NEEDED - CHICAGO --NORTHWEST INDIANA

Home Physicians, a medical group specializing in house calls is looking to hire podiatrists. We are located in Chicago and Northwest Indiana. Full and part time positions are available. Competitive Compensation including malpractice. Contact Scott Schneider. Phone-773-342-4201 FAX 773-486-3548-E-Mail sschneider@homephysicians.com Visit our website

ASSOCIATE WANTED IMMEDIATELY – NEW YORK

Part-time or Full-time for group practice Fast track to partnership. Located in Orange & Sullivan County, NY. Commute from adjoining counties to see how it fits. Monroe, NY office is only 1 hour from Manhattan. All phases of podiatric care. Call Dr Marc Hudes 845-807-8864. Check out our practice website

ASSOCIATE POSITION WITH OPPORTUNITY FOR PARTNERSHIP NY/PA

Group practice located on NY-PA border with excellent growth in the area’s industrial, retail, and college campuses. Surgical privileges in medical centers in NY and PA. This position will involve rotating through multiple office locations, and wound care centers. Local insurance reimbursement involves mostly private pay PPO models. We are looking for an ABPS Board Qualified podiatrist to join our team. Candidates would need to obtain licenses in NY and PA, and become ABPS certified to maintain hospital privileges. Base salary starting at 85,000.00 with bonus plan incentive, vacation, and health/mp insurances. Forward CV to prefprovider@hotmail.com

ASSOCIATE POSITIONS – CALIFORNIA

Coast to Coast Mobile Podiatry Group, California's premier provider of mobile on-site health-care services is seeking hardworking, caring Associates to provide excellent health-care to the greater Los Angeles areas, Organge County, San Bernadino County, Riverside, San Diego, and Santa Barbara. Salary and benefits available. Please email you CV and salary request to coasttocoastpodiatry@yahoo.com

WEEKLY SPECIAL - One week of ads (5x) for $89 One month of ads (20x) for $340

PM Classified Ads Reach over 10,900 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 10,900 DPM's. Write 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 Ext 110.


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
  • To Post a message, send it to:    bblock@podiatrym.com
  • Notes should be original and may not be submitted to other publications or listservs without our express written permission.
  • Notes must be in the following form:
    RE: (Topic)
    From: (your name, DPM)
    Body of letter. Be concise. Limit to 250 words or less). Use Spellchecker
    Your name, DPM City/State
  • Subscribers are reminded that they have an ethical obligation to disclose any potential conflicts of interest when commenting on any product, procedure, or service.

Barry H. Block, DPM, JD
 
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