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| PM News | |
The Voice of Podiatrists
Serving Over 15,682 Podiatrists Daily
November 25, 2013 #4,924  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
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| PM NEWS QUICK POLL | |
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Results of Last Week's Poll |
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| AT THE COLLEGES | |
Barry Podiatry Students Form Overseas Podiatry Association
Timothy Graham and Romain Onteniente, 4th year students at Barry University's School of Podiatric Medicine, have formed the Podiatry Overseas Association (PODOA).
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(L-R) Timothy Graham and Romain Onteniente |
PODOA is a growing non-profit organization that puts podiatric physicians at the service of the men, women, and children of West Africa. The main purpose of PODOA is to take podiatric medicine on a humanitarian journey abroad.
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| REMEMBERING JFK | |
TX Podiatrist Recalls Assassination of JFK
Podiatrist Dr. Dwight Bates of Athens was 18-years-old on Nov. 22, 1963. The president’s death didn’t have the affect on him that day that it would in later years. He was particularly moved by a book, “We Were There,” containing the personal recollections of the doctors at Parkland Hospital who attended to the President and Gov. John Connally, who was seriously-wounded in the burst of gunfire from the Texas Schoolbook Depository. He has a copy signed by William Osborne, MD, who operated on Connally’s wounded wrist, injured by a bullet that came to rest in the governor’s thigh.
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Dr. Dwight Bates |
“I was moved by the words. They convey more than a video could,” Bates said. “A video couldn’t describe the extent of the damage like the doctor’s terminology. It can’t describe the smell.” Bates is impressed by the professionalism of the doctors who turned off their emotions enough to allow their training and professionalism to take over. No amount of effort could save Kennedy, but Connally survived and served several more years in Austin. “They were suddenly thrust into this gruesome medical situation, and their first thought was, do your job,” Bates said.
Source: Rich Flowers, Athens Daily Review [11/22/13]
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| PODIATRISTS AND POLITICS | |
Obamacare Fails to Achieve Universal Coverage: CA Podiatrist
The botched implementation of Obamacare has created a bittersweet moment for advocates of a universal, single-payer healthcare system: They saw this coming, but they can't gloat about it. California Democrat Dr. Lee Rogers, a podiatrist from Simi Valley, unsuccessfully challenged Republican Rep. Buck McKeon for Congress in 2012 on a platform emphasizing single-payer, and he plans to run again next year. To Rogers, the problems with Obamacare's websites pale in comparison to the program's greatest shortcoming: It fails to achieve universal coverage.
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Dr. Lee Rogers |
According to the Congressional Budget Office, even though the Affordable Care Act will reduce the ranks of the uninsured by 25 million over the next decade, 30 million people will still lack health coverage. "It is not universal coverage. It doesn't even get close to it; it just gets closer. So that's been a disappointment to me looking at the original way that they had gone about the reform," Rogers said.
Source: Jeffrey Young, Huffington Post [11/22/13]
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| MEETING NEWS | |
FL DME Audit Dinner Symposium Raises Money for APMA GEF
Dia-Foot hosted the 'Taking the Fear out of the DME Audit' dinner symposium which attracted over 100 DPMs, CPeds, and exhibitors on November 21st in Boca Raton, FL. $715 was raised for the APMA Government Education Fund (GEF). Mark Block, DPM spoke about the new APMA bill regarding dispensing diabetic shoes, Barney Greenberg, DPM spoke about the GEF and the PAC.
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Attendees at DME Dinner Symposium |
The featured speaker was Mia Gott a senior analyst from CGS Medicare, who discussed what the auditors are looking for in a diabetic shoe audit and proper documentation. The dinner symposium was sponsored by Gill Podiatry, Owen, Cutera, Dr. Jill's Foot Pads, Vascular Centers of America, CBL, Realm Labs, Tetra Labs, ICS Software, and Orthofeet.
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| RESPONSES/COMMENTS (CLINICAL) - PART 1A | |
From: Thomas Graziano, DPM, MD, Eric Edelman, DPM
Remove the implant and revise the arthrodesis site. Correct the interphalangeus by taking a medial based wedge from the proximal phalanx stump. Fixate with either 3.0 cancellous screw or 2 crossed 0.62 K-wires. The latter might be better choice depending on bone density in this 76 year old.
Based on the information provided, here are some revision options (in rank order):
1. Remove the internal fixation device, perform additional bone resection of the proximal phalanx, essentially an arthroplasty.
2. Remove the internal fixation device, freshen the edges of the non-union, and attempt a second fusion with an appropriately sized screw.
3. Remove the internal fixation device, see if the patient feels better.
4. Remove the internal fixation device, attempt the second fusion, add a Jones tenosuspension.
5. Remove the internal fixation device, amputate the distal phalanx.
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| RESPONSES/COMMENTS (CLINICAL) - PART 1B | |
From: Brian Timm, DPM
This would be a case of resection of the non-union through a transverse incision. Use a retrograded partially threaded headless 4.5 cannulated screw fixation from MMI/Stryker after removal of this implant. Some physicians would even consider multiple small compression staples; but I would avoid this mainly because of the lysis and cystic formation around this implant which is shown in the radiograph. The joint itself does not appear to have been resected entirely or adequately. This is evidenced by the normal contour of part of the medial aspect of the base of the distal phalanx. So, there will likely be some cartilage even present here.
It would almost be like doing the surgery the first time. The difference here is that the fixation will be improved and the arthrodesis will be sufficiently performed via the excision of the fibrocartilaginous non-union. Consider bone morphogenic protein and even a bone stimulator the second time around.
I have never been a fan of this sort of fixation for an IPJ hallux fusion (which is seen here), as this joint may take an unusually high amount of load depending on the first MPJ range of motion. This small screw which is clipped internally within the bone, may not be sufficient depending on both extent of joint resection and the load of the IPJ relative to the associated MPJ motion available.
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| RESPONSES/COMMENTS (CLINICAL) - PART 2 | |
From: Simon Young, DPM
The fissures are due to dermatitis. Prescribe a class-1 steroid such as Temovate.
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| RESPONSES/COMMENTS (MEDICAL/LEGAL ) | |
From: Pete Harvey, DPM
It is always a good idea to refer patients to other specialists to obtain more opinions. However, advise the patient to check with the family doctor first. Understandably, family doctors tend to get a little upset if a patient is referred away from their care without their knowledge.
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| RESPONSES/COMMENTS (NON-CLINICAL) | |
From: Mohammad Sharif, DPM
Dr. Morse, I also utilize NeuroMetrix at my office and luckily knew about the expiration of the test strips. I wanted to make sure you know that you can get credit for the strips that you get error messages on. There is a form you need to complete and send to Neurometrix, and they will give you credit on your future purchase of more strips. It is not a perfect system, but it has allowed me to continue to use the device.
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| RESPONSES/COMMENTS (NON-CLINICAL)- PART 2 | |
From: Wm. Barry Turner, RN, DPM, CWS
I read Dr. Sullivan's note regarding a wound care center. I feel that his reaching out via PM News is a smart idea. Wound care centers, similar to surgical centers, can be very profitable, regardless if free-standing or hospital-based. I frequently wonder if there are any statistics available to show how many surgical centers actually become profitable versus those that never do.
I wonder how many hospitals have been put in financial ruin due to investing in wound care centers. I have opened three free-standing wound care centers. It is important to...
Editor's note: Dr. Turner's extended-length letter can be read here.
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| RESPONSES/COMMENTS (APMA COMPONENTS) | |
From: Jeffrey Conforti, DPM
The NJPMS has filed a lawsuit against Horizon Blue Cross of NJ because that insurance company has decided to not cover EWST (by any type of provider). We lost by summary judgment, and it cost us a lot of money. Now, NPMS wants to spend even more of our money by further pursuing this case.
I predicted the adverse EWST judgment and waste of money from the beginning. I brought this up several times at the...
Editor's note: Dr. Conforti's extended-length letter can be read here.
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MEETING NOTICES - PART 1
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| RESPONSES/COMMENTS (NEWS STORIES) | |
From: Tahir Khan, DPM, MD, MPH, PhD
I agree with APMA President Dr. Garoufalis that proper footwear can help improve balance. As a co-author of several leading studies specifically dealing with preventing falls, I believe as podiatric physicians, we have an important role to play in preventing falls among the elderly and diabetic peripheral neuropathy patients. One of our studies, a prospective, randomized control trial study, conducted at the Center for Lower Extremity Ambulatory Research and published in the May/June 2013 issue of the Journal of American Podiatric Medical Association, found that diabetic peripheral neuropathy patients had much more stable gait and were at lower risk of falls when wearing shoes. This study also reinforces the need for continued funding for the diabetic shoe program. Here is a link to another landmark study:
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MEETING NOTICES - PART 2
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| CLASSIFIED ADS |
EQUIPMENT WANTED - LASER FOR TOENAILS
IMMEDIATE POSITION AVAILABLE IN SW FLORIDA
Podiatrist to join a small group must be Florida licensed surgical privileges pending experience. Board Certification or Qualified preferred but not necessary. Some nursing home care and also limited traveling. Excellent pay and lifestyle. Send resume to 1Foot.Ankle@Gmail.com
IMMEDIATE ASSOCIATE POSITION AVAILABLE IN THE HEART OF CENTRAL FLORIDA.
Largest podiatry group in Polk County featuring EMR, muscle laser therapy, digital x-rays, vascular and NCV studies, ultrasound machines, shockwave therapy, and much more. We are a very busy office so expect patients the day you start and a competitive salary with bonuses. E-mail CV to contactus@flfootandankle.com
ASSOCIATE POSITION - SOUTHERN CALIFORNIA
Very busy, two location group practice seeking a full-time, self-motivated and hard-working podiatry associate. Competitive salary offered. Please email CV to: podiatrists@icloud.com
PODIATRIST WANTED - SOUTHERN CALIFORNIA
Podiatrist for practice in long-term care facilities. Facilities include Skilled Nursing, Assisted Living and Board and Care homes. Professionally managed. Email interest and CV to: ZbubblesZ@aol.com
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
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
EQUIPMENT FOR SALE - PADNET
Barely used PadNet machine for sale. Purchased in 2010 for $22k seeking $9,900 includes shipping. If interested email Dr. Eric Jamrok at drjamrok@yahoo.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
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.
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| 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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