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November 10, 2006 #2,737 Editor-Barry Block, DPM, JD

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Armstrong to Receive Limb Salvage Award

David G. Armstrong, DPM, PhD, professor of surgery, chair of research and associate dean of the Dr. William M. Scholl College of Podiatric Medicine at Rosalind Franklin University of Medicine and Science in Chicago, is the inaugural recipient of the Georgetown Distinguished Achievement Award in Diabetic Limb Salvage, announced Christopher E. Attinger, MD, co-chair of the Georgetown University Hospital Conference on Diabetic Limb Salvage, A Team Approach, and director of the Wound Healing Center at Georgetown University Hospital in Washington, DC. The award will be presented at the Georgetown conference in Washington, set for September 27-29, 2007, at the JW Marriott.

Dr. David Armstrong

“The Distinguished Achievement Award recognizes outstanding work in the field of limb preservation, especially that involving a team approach, and Dr. Armstrong is known nationally and internationally as a pioneering researcher, dedicated clinician and tireless advocate and educator on limb salvage,” Dr. Attinger said. Dr. Armstrong also is director of the Center for Lower Extremity Ambulatory Research (CLEAR) at Advocate’s Lutheran General Hospital in Chicago and co-founder of the renowned National Center for Limb Preservation in Chicago.

NYCPM Launches Clinical Competence Training Program in New Clinical Skills Center

The New York College of Podiatric Medicine (NYCPM) recently launched a new Clinical Competence Training Program employing trained professional actors as “standardized patients” who accurately simulate a multitude of medical conditions or symptoms of a disease and provide feedback to the students on their clinical skills.

Barbara Haas, the “standardized patient”, a trained professional actor, is flanked by (l. to r.) Michael J. Trepal, DPM, VP, Academic Affairs and Dean; Crystal Gonzalez, Class of 08; Louis L. Levine, President & CEO; Mark H. Swartz, MD, Professor of Primary Podiatric Medical Sciences and VP, Medical & Professional Affairs; Mark A. Kosinski, DPM, Professor, Dept. of Primary Podiatric Medical Sciences; and Joel A. Sturm, VP, Administration.

The Clinical Competence Training Program at NYCPM, geared to improving students’ excellence in history-taking, communication and physical examination, is being conducted in the College’s new Clinical Skills Center. Second-year students work one-on-one in the Center’s examination rooms, learning to take the standardized patient’s medical history and to conduct an accurate and complete physical assessment in a humanistic manner. The College also has plans to develop CME courses in this area.

NV Cross Country Champ Credits WA Podiatrist

Pahrump Valley High School sophomore McKenzie Dean ran what her coach called "her smartest race of the year" to win the Nevada Class 3-A girls cross-country title here Saturday. Dean clocked a time of 21 minutes 31.23 seconds over a five-kilometer (3.1 mile) course at Veterans Memorial Park to pace the field among the Class 3-A girls.

Dr. David Gent

Dean said Dr. David Gent, a podiatrist from Washington State, made a special insert for her shoes. "During track season I had real bad knee pains because of my growth rate," Dean said. "He cast my feet. It helped me so much, it supports your arch."

Source: Mark Waite, Pahrump Valley Times, NV [11/8/06]

Query: Chronic Tibial Sesamoiditis and HAV

I have a middle-aged woman whom I have treated well over a year conservatively for a chronic tibial sesamoiditis. I have tried: orthotics, NSAIDs, PT, Steroid injections, and shoe modification. She gets periodic relief. The sesamoid on x-ray is hypertrophied, bi-partite and plantarly prominent (Axial sesamoid view). Additionally, the patient has a symptomatic, moderate HAV deformity. (IM angle approximately 12-13 degrees).

IWhat is the best way to correct the HAV deformity while either removing or planing the tibial sesamoid? Should this be done through one incision or 2 (dorsal and medioplantar)? Are there any special considerations with removing the sesamoid and a bunionectomy with osteotomy?

Alan Mauser, DPM, Louisville, KY

RE: Sculptra (Jim Fisher, DPM)
From: Jodi Schoenhaus, DPM

To date there are no published papers for use of Sculptra in the foot. Sculptra comes packaged with rwo vials with the poly L lactic acid inside. I mix the powder form with 5cc's of sterile water and 1cc of 1% lidocaine plain. This needs to be done at least two hours prior to its use but 24 hours is best. Next, a PT nerve block is performed. The Sculptra is injected with no smaller than a 22-gauge needle or else the crylstals will clog the needle. You will find that multiple needles will need to be used. I usually inject 3cc's per foot, high pressure areas get the most substance.

You must tell the patient that they will get a quick plump up but then the water will be resorbed and they will not feel any cushioning. They may feel as if they had a poor result. Actually, at about 6 weeks if there is no reponse than a second treatment may need to be done. The lactic acid will work to build collagen and results can take quite a frew weeks. This usually lasts 8-9 months in the foot.

If a patient wants a quicker solution, try Restylane or Radiesse.

Jodi Schoenhaus, DPM, Boca Raton, FL, jschoenhaus@hotmail.com

RE: Surgery For Obese Diabetic (Geoffrey Habershaw, DPM)
From: Richard Frankel, DPM

I would agree with Dr. Habershaw and keep it simple. An IPJ arthroplasty, although not done commonly, can be very simple and effective in a situation such as this.

Richard Frankel, DPM, New York, NY RHF1996@aol.com

PRACTICE FOR SALE – CENTRAL FLORIDA

Well established surgical podiatry practice and a state of the art Medicare-certified outpatient surgical center. Gross for 2005 - 1.6 million. Modest down payment. percentage ownership possible. Located in Central Florida. Contact Camille Todd/Transworld Business 321 217 3625 cell or office 407 226-7171

ASSOCIATE POSITION - NEW ENGLAND

Terrific Opportunity Now Available in growing New England practice. Well established and respected practice with new, large office space, latest technology, very helpful staff, loyal patients and solid referral base. Close proximity to hospitals with modern surgical suites. Opportunity for shared ownership. Prefer 24 month PSR with clinical practice experience or an experienced doctor looking to improve their situation. E-mail CV and particulars to NEAFC3@aol.com

PSR-24 RESIDENCY POSITION SOUTHEASTERN MI

Available for recent graduates or former PPMR/RPR or PSR-12 residents. this is a major teaching affiliate of Michigan State University college of Osteopathic Medicine and serves 17 residency and fellowship programs. Active podiatric clinics in wound care, limb salvage, foot and ankle surgery, medicine and orthopedics. competitive salary and benefit package. meded@pohmedical.org

PRACTICE FOR SALE - BOCA RATON/DELRAY BEACH FLORIDA

Solo practice in large medical building. Near hospital and surgical center. Gross average 520 k for three years. 80% Medicare, no HMOs or nursing homes. Seasonal. Further growth potential. Large patient base. Well equipped for clinical/management needs, over 90 K cost of assets. Owner relocating. Serious inquires only. Contact FeetInFlorida@Yahoo.com

PRACTICE FOR SALE - TEXAS

Podiatry practice for sale in fast growing suburb of Dallas, TX. Part-time practice, can be made Full-time. General podiatry practice, routine care, orthotics, surgery, etc. Hospital privileges available. Excellent opportunity, don't pass it by. Please respond to: CDinbigD@aol.com.

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