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PM News

The Voice of Podiatrists

Serving Over 11,000 Podiatrists Daily


July 07, 2008 #3,291 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.

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OBITUARIES

Oscar L. "Jack" Lippard, DPM

Dr. Oscar L. "Jack" Lippard, a podiatrist who specialized in helping diabetic patients, died June 29, 2008 after a brief illness. He was 85. He was a flight instructor in the Navy in World War II. After the war, he studied at the Temple University School of Podiatry in Philadelphia. In addition to a private practice, Dr. Lippard directed the Podiatry Clinic at St. Louis University Hospital from 1951 to 1956. He also developed and directed the Diabetic Foot Clinic at Barnes Hospital, from 1956 to 1985.

He served as president of the American Diabetic Association of the Greater St. Louis Area, and wrote many articles on podiatry and diabetes and a widely used textbook, "The Diabetic Foot." Dr. Lippard had been a past president of the Tennessee Society — an all-male social club formed to honor the memory of Andrew Jackson.

PM News policy is to request that memorial donations be made to the APMA Education Foundation Student Scholarship Program, 9312 Old Georgetown Rd. Bethesda, MD 20814.

Dia-Foot’s Summer Shoe Display Event

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AT THE COLLEGES

STS Company Donates Slipper Socks to Samuel Merritt

The STS Company of Mill Valley, California has reached an agreement with the Department of Applied Biomechanics of the Samuel Merritt School of Podiatric Medicine for a donation of Slipper Socks and other casting socks for the clinical use by their students for a five-year period.

Dr. Paul Scherer (seated), Chairperson of the Department of Applied Biomechanics at the CSPM in Oakland receives donation of STS Slipper Socks from Dr. Richard Stess, President of the STS Company

The donation to the California School of Podiatric Medicine is the fourth major donation the STS Company has finalized in its pledge to support colleges of Podiatric Medicine. The STS has already provided major donations to the New York , Ohio and Scholl Colleges according to Richard Stess, DPM, President of STS Company. Dr. Stess states that the STS Company hopes to assist in the overall biomechanical training of podiatry students by providing its Slipper Sock casting products for the student skills workshops and clinical uses. The founders of the STS Company, Drs. Peter Graf and Richard Stess, are both CCPM graduates.

Fungoid® Tincture

The Timeless Tincture, since 1925, is pleased to announce Walgreens and Rite Aid pharmacy chains have added Pedinol’s Fungoid Tincture to their Foot Care aisles. When recommending Fungoid Tincture to your patients, please refer them to the above retailers. If the patient does not have a local Walgreens and Rite Aid pharmacy, other ordering options are available. Their local pharmacies can order the product direct from their wholesaler or consumer purchases can be made online at www.amazon.com or www.footamerica.com

Samples for the doctor’s office are also available via fax request. Please fax over your request, with signature, address and DEA number to 631-293-7359. Additional information is available on our website www.fungoid.net or www.pedinol.com

MEDICARE NEWS

Baucus Presses HHS to Delay Physical Therapy Payment Caps

Senate Finance Committee Chairman Max Baucus (D-MT) called on HHS to delay enforcement of certain “therapy caps,” which limit how much Medicare pays for outpatient services such as speech and physical therapy.

Congress routinely has placed a moratorium on the caps, but this year a measure that would do so has yet to pass the Senate. The cap went into effect July 1. In a letter to HHS Secretary Mike Leavitt, Baucus said that HHS should voluntarily place a moratorium on the payment limits and delay processing claims to avoid “disruption, dislocation and injury to Medicare beneficiaries.”

The caps affect an estimated 700,000 Medicare beneficiaries, many of whom reside in skilled-nursing facilities, Baucus said. “Without the exception process, their Medicare therapy benefit will end,” he added. A provision to stay the caps was part of a broader Medicare bill, which Congress failed to pass before their Independence Day recess.

Source: Matthew DoBias, Modern Healthcare [7/3/08]

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PRACTICE MANAGEMENT TIP OF THE DAY

Hiring Tip

Ask prospective employees to tell you about three successes and three setbacks and how they dealt with them. Then hire the person who shows the same amount of enthusiasm when describing either one.

Reason: Peak performers put as much efforts into successes as they do into failures.

Source: Dr. Charles Garfield, cited in Executive Strategies

MEETING NOTICES

Western Division of the New York State PMA Presents
SHUFFLE OFF TO BUFFALO 2008

Podiatric Medical and Surgical Update Seminar

September 19-20, also offered...NYSPMA Ultimate Coding Seminar (September 18 evening) and....Innovations in Joint Resurfacing Workshop (September 19 afternoon)
Earn 20 CME Credits while atteding a two-day Seminar featuring reviews of: Podiatric Pediatrics, Dermatology, The Diabetic Foot, Wound Healing, Surgical Updates, and a discussion on Peripheral Arterial Disease. The Ultimate Coding Seminar and Joint Resurfacing Workshop have only limited space and require registration to the Shuffle Off To Buffalo Seminar.

To request a registration application please send an email to: Seminar Coordinator Ron Ruggiero at cabri@roadrunner.com.


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


QUERIES (CLINICAL)

Query: Nail Bed Inflammation

I recently saw a 19 y/o female complaining of fungal toenails. She has been on Lamisil twice and topicals without resolution. She denies pain and complains only of the cosmetic appearance of the nails. She has thick white “root-like” extension under both hallux nails, and the nails are somewhat in a pincer deformity due to the bulk of the debris. Her nail color is white to normal. Pathology samples revealed no fungal elements, but an inflammatory response of the nail bed and/or matrix. She wears mostly open-toed shoes. Any suggestions on treatment?

Dana Giacalone, DPM, Grapevine, TX

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RESPONSES / COMMENTS (CLINICAL) PART 1

RE: EHB as a Spacer for Keller Procedure (Greg Caringi, DPM)
From: Multiple Respondents

I haven’t used the EDB procedure, but I have had good luck with the hour-glassing of the capsule with 2-0 Vicryl and, of course, the procedure recommended by the late Dr. Ganley, where a medial flap is created and used to cover the met head -- this really works the best.

Frank DiPalma, DPM, Athens, GA, Fivetoes1946@AOL.COM

It would probably be best to "hour-glass" the capsule between the met head and phalangeal base if you can. With time, it will act as a spacer and keep the phalangeal base from rubbing or eroding the met head cartilage.

Art Korbel, DPM, Coral Springs, FL, Classicboats4425@aol.com

Small bone Innovation (SBI) has an excellent product intended to be implanted into the scaphotrapeziotrapezoidal (STT) joint as an interpositional spacer between the scaphoid bone and the trapezium and trapezoid bones. The device is intended to be used in thumb disabilities caused by osteoarthritis. Although off-label, this works quite well. A tech guide can be found by clicking here.

Gerald Mauriello Jr., DPM, MA, Toms River and Lakewood, NJ, mauriellodpm@gmail.com

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 (CLINICAL) ACTIVE PART 2

RE: Paronychia in a 6 Week Old Infant (Stuart W. Honick, DPM)
From: Multiple Respondents

I like using the Keralac nail stick in this type of situation. The high urea concentration keeps the nail very soft. An infant’s nail is usually pretty thin as it is, so it is much easier to trim the nail and keep it away from the distal skin. Oftentimes, the nail may be so friable it literally flakes off. The advantage of this product is it is easy to apply as well with the applicator tip.

Jeffrey Kass, DPM, DPM, Forest Hills, NY, jeffckass@aol.com

While rotating at the New London Sub Base Clinic in Connecticut during my residency, I saw this complaint more than a few times. I had the mother take the newborn to the pediatrician for administration of a sedative (delivered in their formula) before the procedure. This was usually just a simple, conservative slant back along with debridement of granulation tissue. The mothers were instructed about proper care of the newborns' nails. It was painless for me, the baby and the mother. Everyone was pleased and it was successful on a longterm basis, having been caused by the position of the fetus in utero and alleviated after birth.

Kathleen Satterfield, DPM, Boerne, TX, vksatterfielddpm@aol.com

I have seen this on many occasions. The toe is pushing against the wall of the uterus during pregnancy or the infant is placed supine on the mattress, and the toe is pushing against the mattress and creating a paronychia with granulation tissue. I am afraid the only course is to remove the granulation tissue under a 1% plane lidocaine local. I usually have the parent hold the infant in their lap while I do the procedure in the office. I use a tissue nipper to do the procedure. I also remove the edge of the offending nail plate to allow time to heal. I protect the toe by asking the parent to use a bulky sock or foot booty to protect the toe. Over time, healing occurs.

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

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CLASSIFIED ADS

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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

PRACTICE FOR SALE MN: PRIME LAKES AREA

Great place to live and raise a family. 400+K yearly gross with continued growth and potential. Good mix of general podiatry and surgery. Hospital privileges available. Fully computerized, electronic notes with capability to go completely paperless. Recently remodeled office, 5 tx/procedure rooms, well-equipped in owner occupied building (for sale or lease). 260 402-7490.

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


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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
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  • 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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