The Voice of Podiatrists

Serving Over 12,000 Podiatrists Daily

November 09, 2009 #3,696 Publisher-Barry Block, DPM, JD

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Take Sports-Related Foot Injuries Seriously: IN Podiatrist

Officials at the American Podiatric Medical Association and American Academy of Podiatric Sports Medicine are warning athletes to take care of their feet when they play fall sports like football and lacrosse.

Dr. Bruce Williams

"Many fall sports athletes look to compete their hardest on the field even after being diagnosed with a foot or ankle injury by a podiatrist or other medical professional," said Dr. Bruce Williams, past president of the podiatric academy, in a statement.

"However, not taking foot injuries such as plantar fasciitis, sprains, and turf toe, seriously and continuing to play a sport on an injured foot or ankle can aggravate and worsen these ailments and delay or significantly worsen the healing process," he said.

Source: US News and World Reports [11/8/09]

GA Podiatrist Donates $100,000 to Barry For Anatomy Lab Upgrade

Bradley Bakotic, DPM, DO, and Bako Pathology Services in Alpharetta, Georgia awarded $100,000 to the School of Podiatric Medicine for the renovation and technological upgrade of the Gross Anatomy Lab in Wiegand Hall at Barry University. The new facility will be known as the Bako Pathology Services Anatomy Lab.

Dr. Bradley Bakotic

The first phase of renovations in the lab is completed: new flooring, first aid and eye wash stations and upgraded temperature systems, among other amenities. When the project is complete in May 2010, the lab will be outfitted with new surgical lighting, video cameras with monitors at each dissecting station, and a fluoroscope.

Dr. Bakotic graduated as valedictorian of the school in 1992 and went on to complete his Doctor of Osteopathic Medicine degree at the New England University College of Osteopathic Medicine. He has served Barry’s School of Podiatric Medicine as adjunct professor, sponsor of alumni receptions and graduation awards and presenter for continuing medical education lectures as well as in other capacities.

AAPPM Fall Workshop Another Smashing Sellout Success

Combine warm weather, a luxury resort, and some of the best practice management experts in the country – and it’s no surprise that over 175 attendees packed the Lago Mar Resort in Ft. Lauderdale this weekend for the American Academy of Podiatric Practice Management’s Fall Practice Management Workshop.

Roundtable at AAPPM Fall Practice Management Workshop

In addition to the well-attended lectures, podiatrists and their staffs interacted with each other and practice management experts in small groups and roundtables. Practitioners shared their successful techniques and concerns with each other. Attendees enthusiatically expressed how valuable and practical this seminar always is.

For information on future AAPPM events, including their Million Dollar Summit at the Lago Mar January 7-10, 2010, see www.aappm.org

NY Podiatrist Spooks Patients on Halloween

Patients limping in to see one podiatrist in New Springville last week were greeted at the door by Michael Jackson, the iconic master of fancy footwork. They checked in at the front desk with Minnie Mouse, and were led to an examination room by a woman who bore a striking resemblance either to Sacagawea or Pocahontas. And it was a cigar-chomping Tony Soprano type who swung open the door, ready to check on bunions and corns. 

Dr. Richard Rouder (Tony Soprano) and staff (Photo: Staten Island Podiatry)

Query: Painful Callus, Unresponsive to Conservative Care 

I have a 32 y/o male who has been coming to our practice for several years for B/L painful callus formation. Treatment to date has included debridement, orthotics (custom and accommodative), off-loading pads, Rx lotions, and surgery. None of these treatments have helped in preventing the return of these lesions.

Deep Painful Calluses

I vaguely remember Dr. Dockery speaking about alcohol injections for these. If so, has there been any success? Any further recommendations?

Megan Lawton, DPM, Naples, FL

Query: Dictation/Transcription Service

Although I know EMR has changed the playing field, I still use voice recognition software. But for much faster service, can anyone recommend a good dictation service for podiatry?

William M. Miller, DPM, Bergenfield, NJ

RE: Theoretical Explanation of the Metatarsal Length Pattern
From: Philip H. Demp, DPM

The metatarsal length pattern (MLP) has been implicated in the pathomechanical etiology of a wide range of clinical, chronic conditions. The study of MLPs provides a great challenge for podiatric medicine. A pathomechanical MLP can be thought of as a microtraumatic interaction among the metatarsals.

Each MLP has a unique configuration of the five metatarsal head positions. Each configuration can be described by a unique type of mathematical equation. This gives the clinician a quantitative rationale for pathomechanical diagnosis and treatment of the MLP. Since genes play a pivotal role in human skeletogenesis, the presence of a pathomechanical MLP should call for checking other parts of the body. Also, if a post-operative bunion surgery shows a pathomechanical MLP, there is a good chance of recurrence.

In my current work, I am in a Phase II trial where I am focusing on treating pathomechanical MLPs surgically, using computer-based surgery, and by conservative means, using new modifications of orthotics and inserts, depending on the equations.

Philip H. Demp, DPM, Cinnaminson, NJ, pdemp@dca.net

RE: Orthotics  for Hallux Limitus  (Alan  Mauser, DPM)
From: Stanton C. Southward, DPM

These patients do very well with a classic custom rubber butter orthotic. 
 
Stanton C. Southward, DPM, Colorado Springs, CO, sbsouthie@comcast.net

RE: Podiatrists and Flu Shots (Elliot Udell, DPM)
From: Ray McClanahan, DPM, Kathleen Neuhoff, DPM

We recently discussed whether it was appropriate for podiatrists to manage the systemic illnesses that have pedal manifestations. I believe gout and diabetes were among the examples given; and since podiatrists manage the foot complications due to these illnesses, it seemed prudent to several of our members to be involved, with the internist, in the medical management of these problems.  Others felt like I do, which is that the internist should take care of the medical management, and I will take care of the feet and ankles. It is a gray area.
 
Since influenza has no pedal manifestations, and podiatrists do not treat the symptoms of influenza, podiatrists should not be involved in the care of influenza in any way, including the vaccination process. If there is time to be involved in the legislative process, podiatrists would be much better off working towards podiatric goals.
 
Ray McClanahan, DPM, Longview, WA, footdr@nwfootankle.com

I was invited to become a provider for swine flu vaccines, but chose not to do so after reviewing the additional paperwork required.
 
Kathleen Neuhoff, DPM, South Bend IN, VETPOD@aol.com

RE: Pre-Fab Heel Stabilizer (Eric M. Hart, DPM)
From: Larry Huppin, DPM

The goal of pre-fabricated or custom orthoses in the treatment of pediatric flatfoot is to reduce pain and deformity by reducing excessive pronatory forces across the subtalar joint. The orthoses must be rigid enough to support and realign the subtalar and midtarsal joints, while increasing supinatory torque across the subtalar joint axis. While heel stabilizers can act as a physical block to heel eversion, much more sophisticated and effective devices are available to treat pediatric flatfoot. This article by Paul Scherer in the September 2008 Podiatry Management is an excellent overview of the current literature regarding orthotic treatment of pediatric flatfoot. 

An example of new generation devices is ProLab’s pre-fabricated P3 Kiddythotic which incorporates several functional corrections designed to increase supinatory torque across the STJ axis and limit excessive collapse of the medial arch. These include a medial flange, deep heel cup, medial heel skive, and a rearfoot post.   

Disclosure: I work as the medical director for ProLab Orthotics/USA.

Larry Huppin, DPM, Seattle, WA, lhuppin@gmail.com

RE: Does EMTALA Prohibit Podiatrists From Taking ER Call? (Richard W. Boone, Sr.)
From: Neil A Burrell, DPM, Kathleen Neuhoff, DPM

There are four podiatrists in our area who are required to cover the ER at two hospitals (total beds of about 700). We would be more than happy to let your client come down here and take all the ER call he wants. The only thing out of the ER is uninsured, alcohol-induced trauma. Nothing like getting out of bed at 2 AM  to operate on a drunk. 

Neil A Burrell, DPM, Beaumont, TX, nburrell@gt.rr.com

Podiatrists are active staff members on our two local hospitals and, according to the hospital bylaws, we are REQUIRED to take call so all of us on staff have a rotating schedule to cover both the ER and hospital consults.
 
Kathleen Neuhoff, DPM, South Bend, IN, VETPOD@aol.com

ASSOCIATE POSITION - EAST CENTRAL FLORIDA

Wanted podiatrist for well-established practice in East Central Florida. Fulltime position to perform routine foot care in the office and nursing homes. Competitive salary and full benefits available.  Reply to jrdpm@bellsouth.net

ASSOCIATE POSITION-SOUTHERN CALIFORNIA, INLAND EMPIRE

2-office multi-doctor practice looking for ethical, dependable doctor to work 3-4 days per week. State-of-the-art, long established practice. Needs a team player which may lead to buy-in for the right doctor. Must be ABPS BC/BE. High surgical volume. Send cover letter and CV to bkatzman2@earthlink.net

ASSOCIATE POSITION - NORTHERN VIRGINIA/DC SUBURB

Excellent associate practice opportunity leading to partnership for PSR 24-36 foot and ankle surgically-trained physician. Currently 4-doctor/2 office practice in fast-growing area, expanding to 5 doctors. Hard working, personable, highly-motivated individuals needed. Great opportunity with excellent salary and benefits. No nursing homes. Top hospitals. Fax CV with references to 703-491-9994

ASSOCIATE POSITION - MISSOURI

Expanding multi-location practice seeks motivated individual to contribute to growth. Practice enjoys strong reputation and name recognition. Prefer candidates with interest in partnership opportunity. Established locations available for PSR 24+ and includes incentive comp with benefits/coverage. Please send CV to jmurray@foothealers.com or call John Murray at 314.842.3875.

ASSOCIATE POSITION – MINNESOTA

Well-established podiatry clinic located in the Twin Cities area has an immediate opening for a full-time podiatrist. The clinic is located just minutes from a surgery center as well as 2 major hospitals. Associate position is also open for partnership or purchase. Please email CV and inquires to rmccoy@associatedpodiatrists.com

ASSOCIATE POSITION - NW IOWA (SIOUX CITY AREA)

Well-established, diverse, growing practice. Excellent referral base. Seeking an ethical, hardworking, motivated, caring podiatrist to fill a full-time position. Multiple hospital affiliations. Generous income with room for growth, leading to partnership for the right candidate. See our community www.siouxlandchamber.com. Fax CV, resume, three references to 712-258-9977.

OFFICE SPACE/ MRI RENTAL – NYC, LI

Turn-key space available, daily, monthly; East 60th off Park Ave, East 22nd St. off 3rd Ave, Hicksville and/or Plainview Long Island. JACHO-certified operating rooms available, as well as all surgical equipment and anesthesia. Extremity MRI Rental. Stark compliant. All exams read by board certified radiologist. Call for details. 516 476-1815

ASSOCIATE POSITIONS - INDIANA/OHIO

PrimeSource Healthcare is a leading provider of mobile, on-site healthcare services at long-term and skilled nursing facilities. Our exceptional growth has created an immediate need for traveling, independent contractors of podiatry services in Indiana/Ohio. Earn between $175k and $225k per year. E-mail CV to kwright@pshcs.com. Visit us at pshcs.com.

PRACTICE FOR SALE- SEATTLE, WA

Beautiful office for sale in the heart of Seattle, WA. Newly renovated, 2,500 sf, new digital x-ray, vascular lab, state of the art physical therapy equipment, paper-less system, all new podiatric furniture and equipment, popular podiatric products store and beautiful diabetic shoe display. Office is located in the medical building and open 3 days a week. Great opportunity for expansion to full-time. Please send us a letter of interest to the: podiatrygroup@yahoo.com

ASSOCIATE POSITION FULL-TIME - SUBURBS OF CHICAGO

PSR 36 - month-trained podiatrist needed for busy suburban Chicago practice. Office and diagnostic equipment state-of-the-art. Full benefit package included. If interested, please fax your curriculum vitae to 847.352.0270 or email to foot1st@yahoo.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 a full-time podiatrist in a multi practice location in Chicago. Must have two years of surgical residency. Please e-mail resume to fmassuda@footexperts.com

ASSOCIATE POSITION - PHOENIX, ARIZONA 
Part Time/Full Time well-trained, ethical and hard working graduate of a PSR 24+/36 Residency to join our growing multi-location practice. Good mix of Surgery/Pediatric/General Podiatry. ER/Hospital Call a must. Very modern offices with EMR, U/S, Digital X-Ray, ESWT, Vascular Testing. Excellent referral base, and a well-trained staff. Base salary, bonus structure, benefits. Current AZ License a Must. Please e-mail CV and references to azpodiatrists@hotmail.com

DIABETIC RURAL OUTREACH PROGRAM - FLORIDA AND GEORGIA

Seeking DPM to join our program due to a high demand for Podiatric Care to off-site settings in SNF, ALFs and House Calls. Applicants must be willing to travel and must have experience. Current State License, Medicare and Medicaid numbers required. Seeking highly motivated individuals who can be team players, yet work independently. Must have strong work ethic and excellent communication skills. APPLY: Fax CV to: 866-258-9993 include 3 professional references. Please provide the geographic area where you can provide services. Further information call 800-779-8551 or email: info@DROPInternational.org. Visit our website

ASSOCIATE POSITION – RESEDA, CA

Podiatrist needed in Reseda, CA office 2-3 days/wk, 6hrs/day @ $375/day to senior community. Please have an active Medicare #. Position starts immediately. Please email CVs to coasttocoastpodiatry@yahoo.com

ASSOCIATE POSITION - FREDERICK, MD

Well-established and growing 2 office state-of-the-art practice located in medical/professional buildings. EMR, Digital X-ray, Ultrasound, DME provider, etc. Competitive Base Salary plus bonus, malpractice, health insurance, etc. PSR 24 minimum/Board Qualified or Certified with ability and desire to take ER call. If interested, forward CV to DOCSBNB@aol.com

PRACTICE FOR SALE - FLORIDA—CENTRAL/SOUTH

Turn-key operation grossing $570,000 annually based on one full-time doctor. Great opportunity for growing the top-line. Surgery is only 14% of the professional man-hours; it can significantly increase income. Medicare makes up 64% of revenues. Seller will assist with transition. Call 863-688-1725, ask for Chas.

ASSOCIATE POSITIONS – MARYLAND

Are you motivated, personable and enjoy working with the elderly? We are offering full or part-time positions in Maryland. Our group, Podiatry Management Services, provides care to the elderly in Nursing Homes, Assisted Living, Senior Homes, Adult Daycare and other similar facilities. Please e-mail your c.v. to drhprosen@comcast.net or fax to 410-486-2049 or call Dr. Herbert Rosen at 410-580-0255.

ASSOCIATE POSITION – BROOKLYN, NY

Busy medical office in Brooklyn seeking part-time podiatrist. Good conditions. (718) 259-6666 phone (718)259-7000 fax, email zg0109@yahoo.com

PODIATRISTS CHICAGO/NW IND/BALTIMORE/WASHINGTON, DC

Home Physicians, a medical group specializing in house calls is looking to hire podiatrists in Chicago, Northwest Indiana, and Baltimore, MD. Full and part-time positions are available. Competitive Compensation including malpractice. Contact Jake Shimansky, Director of Physician Recruitment. Phone-773-342-5221 FAX 773-486-3548-E-Mail jshimansky@homephysicians.com www.homephysicians.com

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