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PM News

The Voice of Podiatrists

Serving Over 15,678 Podiatrists Daily


December 13, 2013 #4,940 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


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STATE PODIATRY NEWS
Reading Health System (PA) Develops New Podiatry Residency
 
Pennsylvania has a strong supply of doctors, but is struggling to keep its younger, newly graduated physicians in the state, according to data from the Association of American Medical Colleges. Dr. Kristen Sandel, associate medical director of emergency medicine at Reading Hospital, said retaining younger doctors, especially primary doctors, will be crucial as the state's older physicians retire and the federal Affordable Care Act is rolled out. More than 27 percent of the active doctors in the state are 60 or older, according to the report.
 
She noted that Reading Health System has developed a new residency program in podiatry and surgery and is beginning recruitment for an emergency medicine residency in addition to its other programs. She said the hope is that some of the "best and brightest" from those programs transition from residency to becoming attending physicians.
 
Source: Matthew Nojiri, Reading Eagle [12/11/13]

arizona


APMA IN THE NEWS
JAPMA Special Issue Focuses on Podiatry and Falls Prevention
 
Many falls among the elderly are related to bad balance caused, in part, by poor foot health. A special edition of the Journal of the American Podiatric Medical Association (JAPMA) explores a promising new virtual reality program designed to address these issues by improving balance and stability, helping to keep elderly patients on their feet. The studies included in the special issue demonstrate multifaceted podiatry interventions that reduce the risk of falling, including lower extremity exercise, non-slip socks, special footwear, and surgical foot deformity correction. 
 
Donna Flenz, a 63-year-old diabetes patient, had become fearful of taking a tumble. Rightfully so—she’s fallen eight times this year. “The worst fall was in the backyard. I broke my clavicle,” she said. Flenz is one of 29 participants in the first-of-its-kind study at the University of Arizona, where researchers are testing diabetes patients with peripheral neuropathy. The innovative virtual reality program uses wearable sensors that provide interactive visual feedback in real-time.
 
Source: BioSpace [12/10/13]

LEDWound


HOSPITAL PODIATRISTS IN THE NEWS
OH Podiatrist Honored by Memorial Hospital
 
The Memorial Hospital Board of Trustees honored local podiatrist Dr. John Clarke on Dec. 3 for his many years of service to Memorial Hospital and the Memorial Hospital Board of Trustees. Clarke was recognized with a proclamation that was presented to him by chairman of the board Al Mehlow. Clarke served on the board since 2004, and his term expires at the end of this year.
 
(L-R) Chairman of the Board Al Mehlow Presents Proclamation to Dr. John Clarke
 
Clarke joined the Memorial Hospital medical staff in 1980. While on the Memorial Hospital Board of Trustees, Clarke served on various committees, including nominating, physician recruitment, joint conference, bylaws, ethics, and professional affairs. Clarke served as chairman of the board during 2009 and 2010.
 
Source: The News-Messenger [12/19/13] 

Earthwalk


PODIATRISTS IN THE COMMUNITY - PART 1
FL Podiatrist Participates in Chronic Disease Summit
 
At the second annual Florida Chronic Disease Prevention Coalition Summit, the theme was development and implementation of strategies to impact the state's health improvement plan (SHIP). Dr. Chet Evans was invited to attend and participate in the summit as chair of the Governor's Diabetes Advisory Council. 
 
(L-R) Drs. Bonnie Sorensen, Chet Evans, and Michael Gervasi
 
Evans is currently President and CEO of AnchorMed, a medical and dental program development and management company, and was former VP for Medical Education and Program Development at Lake Erie College of Osteopathic Medicine (LECOM) in Bradenton, FL.

Bako


PODIATRISTS IN THE COMMUNITY - PART 2
MI Podiatry Group Holds Winter Clothing Drive
 
Northwest Podiatry in West Bloomfield is collecting donations of winter accessories to support families in the Webster Elementary School community.
 
(L-R) Drs. Jeffrey Frederick, Michael Schey, Lee Hoffman, and Charles Kissel
 
“In November, we were informed of the amount of children at Webster that do not have the means to purchase even basic items to keep them warm this winter,” Dr. Lee Hoffman said. “Our team decided to help, and we invite the community to join us.”
 
Source: West Bloomfield Patch [12/111/13 

AMERX


MEETING NEWS
IL Podiatrist Lectures on ACOs and Metrics
 
On Friday December 6th, Dr. Sev Hrywnak gave insight into the future of podiatry to a sold-out audience in Chicago. The Illinois Physicians and Surgeon Management Services sponsored this dinner event for podiatric medical professionals and residents. Recent surveys show that when ACOs evaluate podiatry, the cost savings are based not on surgery but more on preventive care. “Currently podiatry metrics do not support a podiatrist becoming part of an ACO. We have to change this,” stated Hrywnak.
 
Dr. Sev Hrywnak
 
The lecture focused not only on metrics, but also on clinical integration of medical home models and quality reporting. Following the success of this event, the Illinois Physicians and Surgeon Management Services are planning to host more of these lectures in order to help give direction to today’s podiatric physicians.

Medit


EHR FRAUD NEWS
Feds Eye Crackdown on Cut-and-Paste EHR Fraud
 
Healthcare fraud can be as easy as hitting Control-C, Control-V. Federal officials say the cut-and-paste features common to electronic health records invite fraudulent use of duplicated clinical notes and that there is a need to clamp down on the emerging threat. That concern is enhanced by the fact that it's too easy to turn off features of EHR systems that allow tracking of sloppy or fraudulent records.
 
In an audit report released Tuesday morning, HHS agencies confirmed that they are developing comprehensive plans to deter fraud and abuse involving EHRs, including guidelines for cut-and-paste features. The issue arises at a time when critics say federally subsidized digital patient record systems are sometimes being used inappropriately by providers to drive up reimbursement.
 
Source: Joe Carlson, Modern Healthcare [12/10/13] 
officite

QUERIES (CLINICAL)
Query: Floating Toe
 
The original complaint of this middle-aged working woman was a painful callus under the second metatarsal head. She had surgery about a year ago by another physician and now has a floating toe, hyperpigmented scar, stress fracture, and claims she is worse off than before the surgery. She also has noticed her big toe drifting laterally since the surgery. She has asked me to do what I can surgically to improve it. 
 
Floating Toe
 
In the past, I have used complete soft tissue release and a silicone double stem implant to keep the toe somewhat stable after at least 4 weeks of K-wire. I have also used GraftJacket as an interpositional graft, but I was not pleased with that over time. Another consideration here is the first metatarsal, which is becoming unstable and drifting. Suggestions are welcomed.

PinPointe


QUERIES (NON-CLINICAL)
Query: Source for Inexpensive Cast Stand
 
Where's the best place to purchase an inexpensive cast stand?
 
David Kahan, DPM, Sacramento, CA

Curve


RESPONSES/COMMENTS (CLINICAL) - PART 1
RE: DVT Prophylaxis
From: John J. Doolan, DPM, Robert Scott Steinberg, DPM
 
The standard of care for DVT prevention now is a sequential compression device on one or both lower extremities during the surgery (any surgery). 
 
John J. Doolan, DPM, NY, NY, johnjdoolan@yahoo.com
 
There is no such thing as a healthy almost pack-a-day smoker! You have before you the perfect opportunity to explain to your patient exactly what nicotine does to the capillaries in the body. The fact that she's taking anti-depressants and she smokes nearly a pack of cigarettes a day makes me believe she's obsessive compulsive. If she can't be a partner in her health, I would not do surgery on this unhealthy 24-year-old female!
 
Robert Scott Steinberg, DPM, Schaumburg, IL, doc@footsportsdoc.com

20/20


RESPONSES/COMMENTS (NON-CLINICAL) - PART 1
RE: Administration of IM Antibiotics (Gary Mantell, DPM)
From: Judith Rubin, DPM, Elliot Udell, DPM
 
Although I don't know the laws in your state, don't you think this is a very good time to get a relationship going with your local infectious disease doctor? I have worked with many ID doctors and found that it is much more beneficial for the expert in this field to give you a helping hand. It doesn't mean you don't know what to do. Rather it means you know what the standard of the community will allow. Sending a patient out for care will come back to you ten-fold. 
 
Judith Rubin, DPM, Houston, TX, jrubinfoot@aol.com
 
Years ago, when antibiotics were new, family physicians frequently gave injections of penicillin both in their offices as well as at house calls. If you had a sore throat, you got a shot of penicillin, generally in the buttocks. The problem encountered was allergy. Many people died from these injections because the family doc did not have the ability to control anaphylaxis in the office or home setting.  Penicillin is one drug that often causes anaphylaxis in those allergic to it. The bigger question, however, is whether giving an IM dose of an antibiotic can do more than oral meds, or should one admit the patient to the hospital and start the patient on IV antibiotics if larger doses are really called for. 
 
Elliot Udell, DPM, Hicksville, NY, Elliotu@aol.com

Dr. Remedy


RESPONSES/COMMENTS (CLINICAL) - PART 2
From: Sarah Montgomery, DPM
 
I suspect that the child has autism or an autism spectrum disorder. I saw this before in a friend's child who also did not verbally communicate, walked primarily on her toes, and bounced a lot. If I remember correctly, she was instructed to have her daughter wear weighted shoes and do stretching exercises with her. If the parents have not yet considered an autism spectrum disorder, it will probably be a difficult suggestion for them to hear. So be prepared with a list of specialists or websites that have more detailed information.
 
Sarah Montgomery, DPM, sarah.montgomerydpm@gmail.com

Care Credit


RESPONSES/COMMENTS (NON-CLINICAL)
RE: A Podiatric Fairytale About Malpractice
From: Vincent Gramuglia, DPM
 
Once upon a time, there was a young lad who wanted to be liked by all the other kids. The children in the neighborhood would play but never included him in any of their games. Sam complained to his mother who said why don't you get really good grades and become a podiatrist? That'll show those mean boys and girls! 
 
Sam said that a lot of the other kids had already decided to be foot doctors and that they were talking about all the cool surgical procedures they would be doing when they...
 
Editor's note: Dr. Gramuglia's extended-length letter can be read here.
MEETING NOTICES - PART 1

ACFAS

aafas


YOU CAN'T MAKE THESE THINGS UP

RE: Outrageous Shoe of the Day

A Little Early for Valentine's Day?

Source: Submitted by Dr. Steven J. Kaniadakis

MEETING NOTICES - PART 2

GPMA

AAPPM


CLASSIFIED ADS
EQUIPMENT FOR SALE 
 
Used podiatric equipment for sale from practice with 2 offices. Items available include, without limitation, several treatment chairs, whirlpools, laser, hand instruments, and routine supplies. Call 914 636-7836.
 
EQUIPMENT FOR SALE – USED PINPOINTE LASER 
 
Used PinPointe Laser $15,500 or OBO Please call 202-255-6236 or email: cosmedresources@verizon.net
 
EQUIPMENT FOR SALE - USED CUTERA GENESISPLUS LASER 
 
Purchased new July 2011, new handpiece, updated software and re-calibrated in September 2013. This is a great laser for treating toenail fungus, scar reduction & warts.  $33,500.00 OBO. Please email dman1hansen@gmail.com or call 801-870-4161
 
PRACTICE FOR SALE – GLENDALE, CA
 
Retiring from part-time practice averaging 15 hours a week practice, grossing well over $130,000 a year. No HMO, PPO or hospital surgeries (but located 20 minutes from 5 major area hospitals). Only accepting private insurance, Medicare and cash. Not participating in the diabetic shoe program. Unique practice specializing in off label liquid SILICONE injections (no insurance…cash only), Cryoneuroablation, x-rays, ultrasound imaging, Lixiscope, soft tissue surgeries, and some palliative care. In same great location, in the center of everything for the past 43 years.  Unlimited potential. Call 818-384-2479.
 
PART-TIME PRACTICE FOR SALE - NYC
 
Great Opportunity! Retiring podiatrist selling part time (18-20 hrs/wk), fully equipped, multi-disciplinary practice upper West Side of Manhattan. Densely populated, street level location near subway. 27 years at location. Option available to expand to full time or to share with eventual purchase. Reply to kappy105@yahoo.com. In subject please write: West Side Office.
 
IMMEDIATE OPENING - SOUTH JERSEY 
 
Exceptional opportunity for a full-time, surgically trained podiatrist to join a busy, well rounded practice covering all aspects of podiatry including; surgery, wound care, and sports medicine. Must be highly motivated, personable, and have good communication skills. The practice is affiliated with a hospital residency program. Opportunity for future buy-in/partnership. Please send cover letter and CV tosuperstarstaff1@gmail.com. In the subject line, please write, "I am your next associate." 
 
ASSOCIATE POSITION - BOSTON SUBURB
 
Excellent opportunity to join a well-established practice.  Located in western suburb of Boston. Office includes EMR, digital x-ray, orthotic scanner. Seeking personable, enthusiastic, motivated associate with goal to become partner.  Practice includes surgery, sports medicine, general podiatry.  PSR 24/36. Send CV to:  jstewartdpm@comcast.net
 
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
 
ASSOCIATE POSITION –OH
 
Group practice in Ohio seeks a well-trained surgeon, PSR24/36 preferred. Our practice provides all of the latest technology needed to provide patients with the best care, including Lasers, PAD Testing, DME, EMR and Digital X-ray. Competitive compensation package including salary and bonus. Please send CV to: DPMgroup1@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 - 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 to: Kpontious9@yahoo.com
 
ASSOCIATE POSITION - CHICAGO, IL 
 
full-time position to treat homebound patients in Chicago; salary $100K plus bonus based on 40% of collection; car allowance plus malpractice insurance offered; full logistical support provided. If you interested in part-time position, similar conditions can be prorated. If interested, email to dpms2@hotmail.com
 
ASSOCIATE/PARTNER - CENTRAL FLORIDA 
 
Busy two office, two doctor practice looking for a motivated, hard-working individual for associate leading to partner. Current partner wants to retire. Our practice enjoys a diverse patient population from general podiatry, diabetic, wound care and surgical patients. Full podiatry privileges at two hospitals and surgical center. We are offering a competitive salary with incentives. Malpractice and health insurance, as well as all fees and dues covered. Must have active Florida license and be at least board eligible. Please forward CV and surgical log to: footpainbegone@gmail.com.
 
ASSOCIATE POSITION – BRITISH COLUMBIA
 
Beautiful Victoria, British Columbia. Needing experience associate for 3-office practice Reply todr.cole@shaw.ca 
 
ASSOCIATE POSITION - NEW YORK/ NEW JERSEY 
 
Looking for experienced podiatrist or 2013 residency graduate who is currently seeking to run a practice within a multi-specialty practice(s). Must currently be on Medicare and at least three to five insurance plans or have been accepted by those plans. Should be motivated and committed to be part of a healthcare team. Extremely competitive salary with the long term relationship in mind. Must have a minimum of one full day per week available and could be up to five days. Opportunities in several areas of NY and NJ areas with new opportunities becoming available. Podiatry8888@yahoo.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 tocontactus@flfootandankle.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
 
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
 
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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