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PM News

The Voice of Podiatrists

Serving Over 15,684 Podiatrists Daily


November 22, 2013 #4,922 Publisher-Barry Block, DPM, JD

A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2013- No part of PM News can be reproduced without the
written permission of Barry Block

aetrex

PM NEWS QUICK POLL

Quick Poll

Which brand of pre-fabricated orthotic do you dispense in your office?
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Medit


HOSPITAL PODIATRISTS IN THE NEWS
PA Podiatrist Runs Preceptor Program for MDs
 
Dr. David Samuel of Springfield, PA  serves as a preceptor to the Department of Family Medicine of the Crozer Keystone Health System. He lectures to the family practice residents on all aspects of lower extremity care. Many of the family practice residents choose to do office rotations with Dr. Samuel as well. 
 
Dr. David Samuel Instructs Preceptees on Injection Techniques
 
Samuel teaches them basic procedures that they may have to do if serving in a more rural environment where podiatrists may be scarce. He recently conducted a workshop where he lectured to the residents about podiatric medicine and also demonstrated and instructed them about typical podiatric office procedures.

PinPointe


PODIATRISTS IN THE COMMUNITY- PART 1
MI Podiatrist Runs Shoe and Boot Drive for Homeless 
 
Dr. Anthony Weinert, a podiatrist with offices in Troy and Warren, will be running a winter shoe and boot drive benefiting Grace Centers of Hope, Oakland County’s largest and oldest homeless shelter and charity providing food, clothing, and hope to disadvantaged individuals. The purpose of the shoe and boot drive is to help those individuals facing hardships in their life to have adequate protection for their feet as cold winter months loom in the near future. 
 
Dr. Anthony Weinert
 
The drive will run from November 18th through December 22nd, with shoes being collected at Dr. Weinert’s offices and other select locations. Shoes will be distributed to Grace Centers of Hope on the 23rd, to benefit homeless and disadvantaged individuals before Christmas.
 
Source: Laura Mikulski, Troy Patch [11/20/13] 

AMERX


PODIATRISTS AND FOOTWEAR
NY Podiatrist Discusses Fashion Shoes
 
Are some heels worse than others? I asked an expert, Dr. Robert Conenello, a podiatrist from Orangeburg, NY. "Ones that are over two inches and have very tight toe-boxes. The most fashionable shoes show 'toe cleavage'...the space between the first and second toe. These have the least support," says Conenello.
 
Dr. Robert Conenello
 
"The bottom line is this. Listen to your feet. If they are throbbing before you walk out of your bedroom, reconsider. Even if you aren't worried about the long-term effects just yet, nothing can ruin a fun night like numb, cramped toes or an ankle sprain," says Conenello.
 
Source: Karen Latimer, StyleList  [November 2013]

Dr.Comfort


PODIATRISTS IN THE COMMUNITY - PART 2
NY Podiatrist Receives NHCAA 2013 Medical Director Award  
 
The National Health Care Anti-Fraud Association (NHCAA) has named Gary Cicio, DPM as its 2013 Medical Director Award recipient for his significant contributions and outstanding accomplishments to the field of healthcare fraud-fighting.
 
For more than 18 years, Dr. Cicio has served as an independent consultant, and more recently as a clinical director of fraud investigations for WellPoint, Inc., a member of NHCAA. In his consultant role, he contracted with many regional and national health plans and program integrity organizations nationwide, and worked with federal and state law enforcement providing pre-trial case development and expert witness testimony in both civil and criminal cases. 
 
Source: KUAM News [11/19/13]

pinnacle


PODIATRISTS AND THE LAW
NY Podiatrist Pleads Guilty to Distributing Oxycodone Charges
 
Two Long Island men pleaded guilty Wednesday to illegally distributing prescription drugs, federal prosecutors said. Rools Deslouches, 42, a nurse practitioner from Brentwood, and Dr.Stephen Owusu, 57, a Valley Stream podiatrist, each pleaded guilty in unrelated cases at federal court in Central Islip to providing oxycodone illegally, said Loretta Lynch, U.S. attorney for the Eastern District of New York. Owusu, whose practice is in Brooklyn, wrote more than 400 prescriptions for the pills, several to undercover agents in a Rockville Centre parking lot, according to court papers.
 
SourceL Robert Kessler, Newsday [11/20/13]

pedifix


QUERIES (CLINICAL)
Query: Unusual Skin Fissures
 
This 50 year-old male patient suffers from chronic patches of fissuring skin as noted below. His medical history is significant only for heavy alcohol use. He admits to frequent barefoot walking and use of sandals. Shaving of the skin was negative for dermatophyte infection on PAS stain. 
 
Unusual Skin Fissures
 
The patient has, to this point, refused a punch biopsy. Any thoughts on etiology and appropriate treatment would be appreciated. The fissures are very painful for the patient.

20/20


QUERIES (NON-CLINICAL)
Query: Starting a Wound Care Center
 
I have been approached by some physicians about being a partner and supplying the facility for a new wound care center. Although I have started a single specialty surgical center, I am fairly neophytic regarding the issues surrounding start up of a wound center. Is there anyone that you would suggest I contact who has experience and might give me some advice in this potential endeavor?
 
Tip Sullivan, DPM, Jackson, MS

PPG


RESPONSES/COMMENTS (MEDICAL/LEGAL)
From: Stephen Musser, DPM, Barry Mullen, DPM
 
When referring a patient on to a  physician of a different specialty, I give them more than one name (I believe 3 is the norm). I also tell them to go back/call their family physician for additional names/referrals if there is a specific doctor they work with, and to keep them in the same health system for continuity of care and coordination. Yes, I would document this in the patient record and have the patient keep me updated at a follow-up encounter.
 
Stephen Musser, DPM, Cleveland, OH, ly2drmusser@gmail.com 
 
I will qualify my statement by stating I am not a healthcare attorney. I opine one is not responsible for the treatment outcome another surgeon achieves. I also believe that we are indemnified against any negligence that might be alleged against another healthcare provider. Additionally, it's a patient's right, and OPTION to either follow your recommendation, or not. In good consciousness, if you feel a given medical/surgical issue is best served by referring to a specialist, then do so. Scope of practice doesn't seem relevant. 
 
If the issue were misdiagnosed and the patient was incorrect in what condition they thought they had, it is likely that specialist would refer to the appropriate one after evaluating the patient. Document the patient's request in the subjective portion of your SOAP note, and your recommendation/referral in the treatment plan. I just made a similar referral yesterday for a friend of mine who asked for help dealing with the EXACT same pathology.
 
Barry Mullen, DPM, Hackettstown, NJ, yazy630@aol.com 

Success


RESPONSES/COMMENTS (ICD-10)
From: Joseph Borreggine, DPM
 
With the recent failed Obamacare roll-out for the health insurance exchanges, I would like PM News readers to ponder the following: 
 
With the way the new ICD-10 changes will affect healthcare delivery next year when it goes into effect Oct 1, 2014, I would like some to comment positive or negative on how it will affect the profitability of all medical practices across the country due to the coding complexity and...
 
Editor's note: Dr. Borreggine's extended-length letter can be read here.

Neuremedy


RESPONSES/COMMENTS (STAFF ISSUES)
From: Norman Wallis, PhD
 
Ms. Pezza mentioned in PM News today, “there is no formal training for podiatric assistants.” While this is true regarding a formal, institutional-based training program like those available for medical assistants, the American College of Foot & Ankle Orthopedics and Medicine (ACFAOM) offers a 10-module online program with exams plus a 40-hr clinical practicum that leads to certification as a Clinical Podiatric Medical Assistant. For more information, click here or call 301-718-6539.
 
Norman Wallis, PhD, ACFAOM Executive Director, nwallis@paimgmt.com

Diowave


RESPONSES/COMMENTS (NON-CLINICAL) - PART 2
From: Michael L. Brody, DPM 
 
Dr. Kosova had an incident where his server motherboard failed and required replacement. Without the server, he did not have access to his EHR, his appointment schedule, and his digital x-ray system. Under the HIPAA rules, each of us must have a documented plan on how we deal with 'unscheduled downtime' - that is time when we do not have access to our computer systems. We also need to have a disaster recovery plan.
 
The disaster recovery plan needs to include the proverbial "Whom do you call," along with the steps necessary to get back up and running. We should also test our disaster recovery plan to make sure that it actually works. Based upon his post, it is clear that Dr. Kosova's disaster recovery plan did work.  Well done, Dr. Kosova.
 
The same situation could happen to your practice. If it does, do you have the contact information for everybody that you need in one place?  Do you have appropriate 'paper forms' on hand to utilize during the time your EHR is down? Your HIPAA security manual should have sections that document how you would deal with a situation like this. Now is a good time to look at your manual and make sure that section is up-to-date. If it is not, then it is time to update your HIPAA security manual.
 
Michael L. Brody, DPM, Commack, NY, mbrody@tldsystems.com

SWI


RESPONSES/COMMENTS (NEWS STORIES) - PART 1
From: Elliot Udell, DPM
 
Dr. Glenn Gastwirth deserves to be acknowledged for delaying his retirement until 2015. It is said that no one is replaceable, but in this case, it may not be so. I have worked with Glenn on projects over the years and found him to be totally hands-on when needed. He edited our journal before Dr. Warren Joseph took over. He ran our national conventions until he was able to appoint great people to take on that responsibility. The list of what he has done for the APMA is vast. Glenn Gastwirth's most challenging project may very well be finding a successor who can come close to his talents.
 
Elliot Udell, DPM, Hicksville, NY, Elliotu@aol.com
MEETING NOTICES - PART 1

ACFAS

Highlands


RESPONSES/COMMENTS (NEWS STORIES) - PART 2
From: Robert Creighton, DPM
 
I believe the story regarding balance in the elderly could have been better stated to more positively reflect on the profession. While we certainly should unashamedly profess our academic and practical knowledge along with our technical skill in treating our patients in the context of their footwear, if we want to elevate the profession and be considered physicians, we need to refrain from reflexively talking about shoes as soon as we speak.  
 
There is so much more that could be said regarding the lower extremity and balance that is consistent with a physician's level of expertise. When responding to questions, we need to think about moving footwear down the list. Physicians would speak first about the lower extremity in the context of the patient as a whole. Then, when applicable, consider the lower extremity in the context of footwear. In this case, we are less apt to sound like glorified shoe technicians. It is time to slay the shoe dragon and better represent our knowledge, the physician status we aspire to, and the three years of post-graduate training we now demand.
 
Robert Creighton, DPM, St. Petersburg, FL, rcreightonjr@hotmail.com 
MEETING NOTICES - PART 2

aafas

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CLASSIFIED ADS
DIABETES MANAGEMENT FELLOWSHIP - CENTRAL KENTUCKY
 
CVs and letters of interest are being accepted now for the most unique and well-rounded fellowship in podiatric medicine. This non-accredited, 1-year fellowship starts in July of 2014 and offers a wide variety of training opportunities that focus on diabetes, including diverse pathologies and unique medical and surgical opportunities. Regular surgical case load, intensive practice management, and the best prep for real world practice. Work with our on-staff certified orthotist, physical therapist, shoe store staff, MRI director, etc. Generous stipend, benefits, and free housing. Learn more at www.myhappyfoot.com (click the Fellowship Tab). Send CVs to jmoore@aappm.org.
 
PRACTICE FOR SALE – SOUTHWEST QUEENS, NEW YORK 
 
Busy, well established , fully equipped , newly redecorated office in good neighborhood. Grossing approximately $500k. Doctor relocating, but will stay on through July. Contact dfoot35@gmail.com
 
PRACTICE FOR SALE - CONNECTICUT 
 
Well-established, 35-year-old reputable practice/condo with approx 2,500 Square ft. Grossing approximately $450,000. Outside Hartford area. All phases of podiatry. Contact drsch52@hotmail.com
 
PRACTICE FOR SALE - NASSAU COUNTY, NEW YORK 
 
60 year old practice currently operating only 16 hours per week. Plenty of room for growth. Stable lease. Grossing 100k priced for quick sale at 65k. Three complete treatment rooms plus O.R. staff in place. Turn-key operation. Respond to footman007@aol.com
 
EQUIPMENT FOR SALE - PADNET
 
Padnet vascular testing machine with updated security software (purchased in 2012). Perfect condition only used for training. We do not have the patient population to provide this valuable diagnostic tool. Purchased for 20K, asking 12K (and we will pay for shipping costs). Please contact vcrismali@gmail.com 
 
EQUIPMENT FOR SALE – USED PINPOINTE LASER AND 2 USED Q-CLEAR LASERS
 
Used Pinpointe Laser for Sale! $17,500. 2 Used Q-Clear Lasers for sale $9,000 each. Please call 202-255-6236 or email: cosmedresources@verizon.net
 
ASSOCIATE POSITION -TAMPA BAY AREA
 
Excellent opportunity to join a well-established multi-office group practice in the beautiful Tampa Bay area starting July 2014. We are seeking a highly motivated, ethical and outgoing physician with Florida license to join our growing practice. Competitive salary, excellent benefits, bonus structure with partnership opportunity. Please email CV: Kpontious9@yahoo.com
 
POSITIONS AVAILABLE - BUFFALO AND CONNECTICUT
 
Looking for podiatrists to see residents in nursing homes in Buffalo and Connecticut. Great opportunity for supplemental or full time income. Email inquiries to phasetwopodiatry@gmail.com
 
ASSOCIATE POSITION -  ARKANSAS 
 
Ethical, highly motivated, enthusiastic associate needed to join successful, well-established practice located in Northwest Arkansas. Certified/qualified by ABPS with rearfoot training preferred. The practice has an excellent working relationship with a high referral base from local PCPs and other specialists. Well-rounded practice incorporates general podiatry, surgery, wound care, and sports medicine. Salary plus excellent bonus potential for the right individual. Send CV to: footdocmanager@yahoo.com. 
 
PART-TIME ASSOCIATE POSITION – CHICAGO, IL 
 
part-time opportunity in Chicago to provide treatment to homebound patients. You can create your schedule- logistical support provided. Reimbursement is 40% of collection. If interested, please call 312-375-6430.
 
ASSOCIATE POSITION - DAYTON, OHIO  
 
Join an established group practice in Dayton, Ohio excellent reputation, large referral base. Base Salary$120,000, benefits and bonus structure. EMR;diagnostic ultrasound; Padnet; CO2 and Cutera Laser for nails, all aspects of DME. We need well trained personable PSR24/36 surgeon.  Future Buy-in available. Please send CV to: Ohiomedical@aol.com
 
ASSOCIATE POSITION – CONNECTICUT (HARTFORD AREA)  
 
Available immediately. Looking for a Board Certified Surgeon with strong RF and ankle skills. This 20 year established practice offers EHR, digital x-ray and Noveon laser. All dues, malpractice and health insurance paid as well as 401K available. Excellent compensation. email lynnleblanc@cox.net
 
PART-TIME ASSOCIATE POSITION - ILLINOIS
 
Part-time podiatrist wanted for Franklin Park, IL office to begin December 2013. Please contact Dr. Ballard at 630-307-7463 and fax vitae to 630-529-0087 to apply.
 
HOUSE CALL DOCTORS WANTED - NYC 
 
A well-established practice with an elaborate house call service is seeking responsible, ethical and compassionate doctors to treat patients in Manhattan, Bronx, Queens and Brooklyn. Create your own schedule, full support, excellent compensation. Send CV to WPerez1000@aol.com or call Dr. Perez 917-757-1921 for more information.
 
ASSOCIATE POSITION - CENTRAL FLORIDA
 
Associate wanted for well-established practice in central Florida. Experienced support staff, malpractice coverage and health insurance provided. Excellent opportunity for a promising future. To apply please go to www.yourcareerinpodiatry.com
 
ASSOCIATE POSITION - EASTERN SHORE OF MARYLAND 
 
Seeking highly motivated, ethical, enthusiastic associate to join successful, well-established practice located in close proximity to Maryland and Delaware beaches. Certified/qualified by ABPS with rearfoot experience preferred. The practice incorporates surgery, wound care, sports medicine and general podiatry. Fully equipped office with diagnostic ultrasound, fluoroscopy, vascular testing, radio frequency ablation, six treatment rooms and three satellite offices. Main office has accredited ambulatory surgery center. This opportunity has excellent salary potential with benefits for the right individual. Send CV to: dpmkthomas@gmail.com.
 
ASSOCIATE POSITION – DALLAS/FT WORTH, TX 
 
Dynamic, busy practice in Dallas/Fort Worth area, seeking surgically trained, Board Certified/Board Qualified podiatrist, PSR-36 preferred. Excellent salary and benefits compensation package, for the right candidate, who is motivated to work hard. Contact/Send resume to: jmh6122@yahoo.com
 
ASSOCIATE POSITION - CT (GREENWICH, FAIRFIELD AND NORTH HAVEN) 
 
Join one of the largest podiatric groups in Connecticut. Well-established and progressive offices, including EMR, digital x-ray, vascular and NCV studies, Pinpointe and CO2 lasers, diagnostic ultrasound and electrical stimulation therapy. You can expect a full schedule of patients the day you start, and a very competitive salary. For more info www.greatfootcare.com. Send resume to: Dr.Kassaris@yahoo.com
 
ASSOCIATE POSITION – BROOKLYN  
 
Podiatrist needed for busy Brooklyn practice. Must be at least Board Qualified. Surgical background, personable and able to travel to different offices in Brooklyn. Part-time to start, with the potential for full time and partnership. Please email CV to evangbreth@gmail.com or fax to 718-840-0653. 
 
PM News Classified Ads Reach over 15,500 DPMs 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 15,500 DPMs. for details, click here or write to:bblock@podiatrym.com or call (718) 897-9700 for details. Weekly ad rates start as low as $119 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.
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.
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Barry H. Block, DPM, JD
 
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