The Voice of Podiatrists

Serving Over 14,000 Podiatrists Daily

March 12, 2013 #4,713 Publisher-Barry Block, DPM, JD

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IL Podiatrist Discusses Heel Bursitis

If you have bursitis, it often feels like a bump, usually on the back of a heel. “This condition can occur when you have a genetically enlarged heel bone,” says Dr. Marlene Reid, a podiatric surgeon in Naperville, Illinois.

Dr. Marlene Reid

“It’s often called ‘pump bump’ because the bone can become irritated from wearing a shoe like a pump with a stiff back,” says Reid. When the unforgiving shoe rubs against the bone, you can inflame the bursa, the protective sac of fluid in the tissue. If the problem causes chronic pain, a podiatric surgeon can remove the bursa and the enlarged part of the heel bone.

Source: Sally Wadyka, Realsimple.com

PM News has begun a new weekly feature called Quick Poll. Each week, we will post a new poll based on some of the controversial issues discussed in our Comments/Responses section. 

Quick Poll
If you use a laser to treat fungus nails, compared to oral terbinafine, do you think the laser is:

NY Podiatrist Receives the Nation’s Highest Volunteer Service Award

Dr. Tahir Khan, a second year resident at Wyckoff Heights Medical Center has received the “President’s Call to Service Award” from President Barack Obama. This is the highest volunteer service award given by the President’s Council on National and Community Service. The award was presented to Dr. Khan by New York State Representative William Scarborough on behalf of the President.

Dr. Tahir Khan receives the “President’s Call to Service Award” from NY State Representative William Scarborough.

Dr. Khan has served as the Vice President of the Ahmadiyya Muslim Youth Association, New York City Chapter since 2011. Previously, he served as the President of the Ahmadiyya Muslim Student Association at the University of Wisconsin (2002-2006) and Rosalind Franklin University of Medicine and Science (2007-2011).

NH Podiatrist Collects Over 1,200 Shoes to Benefit Soles4Souls

Dr. James Dolan of Core Podiatry, a Core Physicians practice, collected more than 1,200 pairs of gently worn shoes to help people in need through Soles4Souls, which distributes shoes to a person in need, whether they are victims of a natural disaster or subject to living in extreme poverty.

Dr. James Dolan (rear) and student volunteers

Students from Winnacunnet High School's Interact Club volunteered to help the Core Podiatry staff pack and ship the shoes. This is the third year Core Podiatry has taken part in the Soles4Souls program.

Source: Seacoast Online [3/10/13]

Editor's Note: PM News is proud to present excerpts from Meet the Masters.

Bret Ribotsky: How will residencies be affected under the future Obama Healthcare program?

Dr. Edwin Wolf

Edwin Wolf:  On one hand, we know that the federal government wants to cut spending, and healthcare is clearly a large part of it.   Medical education has not been focused on with the funding cuts. It may be that Obama wants healthcare for everyone, and that will require more doctors, and these doctors need to be trained. 

Dr. Orlando Mercado

Meet the Masters is broadcast each Tuesday night at 9 PM (EST). This week's guest is PM Podiatry Hall of Famer Dr. Orlando A. Mercado. You can register for future events by clicking here

Query: Macrodactyly

My patient is 18 months old. He has macrodactyly of digits 2 and 3. X-rays are normal, except for increased length of phalanges.

Macrodactyly of 2nd and 3rd digits in 18 month old.

Any suggestions would be appreciated.

Philip Graham, DPM, NY, NY 

Query: Athena EHR

I'm interested in feedback from anyone who has been using Athena EHR.

Eric Trattner, DPM, Cleveland, OH

RE: Efficacy of Lasers for Onychomycosis (Burton Katzen, DPM)
From: Burton Katzen, DPM

In response to the storm of e-mails I have received (many from laser companies and collegues associated with laser companies), I never said that lasers were not one of several effective methods for treating onychomycosis. I’m sure they would have not received FDA approval if they weren’t. However, that being said, I was never promoted a laser by a company showing me copies of pre- and post-laser lab reports, only pre- and post-laser nail photographs.

Also, in my opinion, patients would not be overly impressed with negative post-laser cultures after spending the money if their nails are still thick and “ugly.” Whether the companies or my colleagues care to agree, the patient’s perception is that they will come in with an ugly nail and leave with a pretty nail. My only point was that I believe it would be unethical not to tell patients that this may not be true in the majority of cases. Once again, my only warning to colleagues contemplating purchasing a laser is to not promise your patients with thick nails “beautiful nails” in six months.

In my experience, it’s not going to happen, and both of you will be disappointed. It was frustrating enough in the past explaining to patients that if you take Lamisil pills, all the “little fungus people” won’t run out in horror from underneath your nails.

Burton Katzen, DPM, Temple, Hills, MD, DrburtonK@aol.com

RE: Efficacy of Laser for Onychomycosis (Tip Sullivan, DPM)
From: Keith D. Sklar, DPM

I’d like to share my experience on the use of lasers with nail fungus. I use my laser as one segment of my treatment protocol to clear and maintain a healthier nail plate. I also address the surrounding skin. I have found that to take a dystrophic nail plate and convert it to a healthy nail plate is a long-term process. I inform all my patients that they must be very patient and compliant. We discuss a custom pathway and treatment plan that will address their condition, providing the patient with the most optimal results available.

In moderate to severe cases, my treatment consists of the use of the laser and topical medications. We do employ an oral medication. Once the treatment plan has been made, the process of...

Editor's note: Dr. Sklar's extended-length note can be read here.

RE: Efficacy of Lasers for Onychomycosis 
From: Dale Feinberg, DPM, CPed

The conversation here is really between efficacy and reality. If one performs a bunionectomy with less than desirable results, you do not refund your fees. If you invest in the most advanced ultrasound technology and get reimbursed at 20% of the golden day fees, you do not complain. You have invested in and practice retail medicine, yet accept wholesale reimbursements.

You are a pawn in the game. Imagine bringing home a shiny new BMW and telling the dealer to bill some random car payment company who randomly decides if, when, and how much to reimburse the dealership. When I turn on my Cool Breeze laser several times a day, I have already been paid MY pre-determined professional fee and feel like the king of the world. So, if there's something wrong in the neighborhood, who ya gonna call- "Fungus Busters."

Dale Feinberg, DPM, CPed, Yuma, AZ hd5bl@aol.com

RE: Gravesite of Lincoln's Foot Doctor Now a Tourist Attraction
From: Richard A. Hacker, DPM
 
Dr. Isachar Zacharie was more than President Lincoln's chiropodist. He was one of Lincoln's closest confidantes and a recognized Union secret agent. He was directly asked to have provided vital information on Confederate troop movements during the Civil War in 1862. His efforts for Lincoln and our country had escalated, eventually extending into diplomacy. His influence eventually became the critical push to ending the Civil War.

The following year, he reported to President Lincoln and Secretary of State, William Seward that he had met with the Confederate Secretary of State and other of their cabinet officers. He is credited with brokering the initial negotiation attempt for peace talks between the leaders, and was eventually rejected by the Congressional leaders. This was highlighted in the recent Hollywood movie, but without mention of the doctor. Zacharie was appointed Chiropodist-General to the United States Army. Unfortunately, his services were not properly recognized or reimbursed after Lincoln's death, and he eventually chose to return to England. Interestingly, he is cited as bringing and starting an order of the Freemason from the U.S .to England. He remained there until his death. Further information is readily available on this great Jewish American and chiropodist.
 
Richard A. Hacker, DPM, Middleboro, MA, RAHDPM@aol.com

SPACE AVAILABLE - NYC & LI

Office to sublet and share - East 60th Manhattan, and Plainview, Long Island. access to an MRI, Joint Commission certified operating rooms, digital x-ray, diagnostic ultrasound, and access to a multi-specialty ambulatory surgical center. Also availability E 22nd between 2nd and 3rd and E 70th off 3rd. Turn-key operation - no investment needed PODO2345@AOL.COM 516-476-1815

EQUIPMENT FOR SALE - USED Q-CLEAR LASER

Still under warranty. New laser head just added. First Best Offer. Marketing and training included. Dr. Zuckerman will train you. e-mail with questions to mook863@comcast.net

EQUIPMENT FOR SALE - COMPLETE AMFIT ORTHOTIC FABRICATION SYSTEM

Complete Amfit Orthotic Fabrication System with Footfax SL Contact digitizer-3 years old. System includes milling machine, 2 PCs, all cords, parts, hardware and assorted insole blanks. $45K New, Asking $10K. E-mail inquiries to: sportsmed@fdfac.com.

PRACTICE FOR SALE - SOUTHWEST FL

Multilocation multidoctor practice in beautiful Southwest Florida . Practice has grossed over seven figures consistently and currently shows 10-15% growth in revenues with increase in new patients and patient visits. EHR is already implemented with meaningful use criteria met. Practice has been professionally evaluated by Provider Resources. Only serious inquiries to this email address. This is a great practice in Paradise and a good opportunity for the right doctor or doctors. Email to: practiceforsaleswfla@gmail.com

PRACTICE FOR SALE - WEST PALM BEACH FLORIDA

Well established successful West Palm Beach practice grossing $475K with excellent reputation and good referral base. Consistent new patient growth, great opportunity with increased gross revenue and surgical growth potential. EHR implemented with meaningful use criteria met. Great area to live and work. Serious inquires E-mail wpbfootdrs@gmail.com

PRACTICE FOR SALE - MISSION VIEJO, CA

Relocating to Tulsa. Great opportunity to buy my office. Located at Mission Hospital. Gross income 2012 was $560,000. Approximately 1300sqft with 3 treatment rooms, digital x-ray and fully computerized. Will consider all offers. Call David at 949-702-1052 or david@missionviejofootcare.com

PRACTICE FOR SALE - CORONADO, CA

Unique opportunity to purchase a very well established practice in beautiful San Diego. Hospital privileges available. Large and stable patient and referral base with consistent new patient growth. Why not practice where people vacation and retire? Willing to stay for transition. Inquires please email pestibear@gmail.com

PRACTICE FOR SALE - LOS ANGELES, CA

Practice is in Boyle Heights area since 1998. 70%MM the rest consist of Cash/PPO/HMOs. Last 4 years grossed between 200-350k in a down economy. Constant referrals from PCPs in the area. Includes Padnet, and all podiatry equipments. Asking 130k. Please email me only footdoc525@yahoo.com

ASSOCIATE POSITION - CENTRAL FLORIDA

Associate position for busy practice in Central Florida. Competitive salary with complete benefit package available. Please send resume to cmedders@atlanticpodiatry.com

ASSOCIATE POSITION - SOUTHERN CALIFORNIA

Requiring full-time podiatrist (PSR-24 or greater) in established Practice situated in a foothill community of Southern California. There is an existing patient base and a strong support team. Compensation is performance based with practically an unlimited earning capability. A possible buy-in is negotiable. Send resume to office@uplandpodiatry.com , titled, "Podiatrist".

POSITION AVAILABLE - WEIL FOOT ANKLE & ORTHOPEDIC INSTITUTE- CHICAGO

Weil Foot Ankle & Orthopedic Institute is expanding their presence in the Chicago metropolitan area and suburbs and is recruiting qualified podiatric surgeons. A three-year residency is required and a podiatric fellowship is preferable. Current practicing podiatric practitioners in Chicago and surrounding area are also welcome to join our rapidly expanding practice that currently numbers 16 DPMs, a neurologist, an orthopedic surgeon, and a primary care sports medicine physician. For more information contact: info@weil4feet.com or call Stephanie Spiegel, COO at 847-390-7666.

ASSOCIATE POSITION - NY AND NJ

Highly ethical, motivated self starter wanted. Must be willing to work hard. Must have excellent people skills. There is partnership opportunity if you are willing to work for it. This is not for everyone. No whiners, and no slackers. Send C.V. to ddfcfootdoc@gmail.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 - NORTHWEST IOWA

A well-established, midwest multi-physician practice with strong hospital affiliations seeking FT podiatrist. Applicant should be well trained surgical physician, completed a 12/24 month residency, & board eligible. Practice offers high surgical volume, advanced wound care and good mix of general podiatry. Competitive salary, excellent benefits. Fax resume: 712-258-9977.

ASSOCIATE POSITION - HOUSTON, TEXAS

PSR 24+/ Equiv. DPM, Texas license, Busy diverse practice. Greater Houston Area, Guaranteed Salary and benefits All Aspects of Podiatric Medicine and Surgery. Board eligibilty, Bilingual A Plus. Send CV to Randal Lepow at rmldpm1@att.net

ASSOCIATE POSITION - DAYTON, OH

Join a well-established modern practice in Dayton, Ohio. Excellent reputation and referral base. Base salary $120,000, benefits and bonus structure. EMR, diagnostic ultrasound, Padnet vascular studies, CO2 lasers, all aspects of DME. We seek a surgeon that is well-trained and personable to join our group of 4 podiatric surgeons. Would like to have this individual buy in to the practice eventually. Please send CV and to Ohiodoctors@aol.com

ASSOCIATE POSITION - ST. LOUIS

Multi-location group practice seeks motivated DPM with initiative and leadership skills to contribute to our growing group practice. Foot Healers Podiatry Group enjoys a strong reputation within St. Louis and looking for the right individual to complement our team. Must have the confidence to lead you own clinic and the willingness to draw on the expertise that exists within our group. Base salary starts at $100k and no limit to your earnings as you grow YOUR practice. We also offer malpractice coverage, health insurance, 401k, group bonus/profit sharing. Please send CV to jmurray@foothealers.com and visit our website www.foothealers.com.

ASSOCIATE POSITION - WASHINGTON, DC/ MD SUBURBS

Prominent, established two office practice seeking well rounded, personable, ethical individual with sharp medical and surgical skills. Must be 24/36 month trained, ABPS qualified or certified. Partnership opportunity with ownership potential. Competitive salary with benefits package. Please send CV to ponyrunner66@gmail.com

ASSOCIATE POSITION - ORANGE COUNTY, NY

Looking for a highly motivated surgical trained podiatrist in the Orange County, NY (West Point area). Hospital, wound center and surgical center affiliated. It is a busy practice that covers hospital inpatients, Wound Center, and takes ER call. The applicant has to be trained in all foot surgery and be able to handle advanced diabetic wound care. The practice is a 1 hour car ride from NYC and is close to hiking, fishing ,skiing and state parks. Please Email a CV and contact info to clsp4@yahoo.com

ASSOCIATE POSITION - LEXINGTON, KY

Associate needed at fast growing, million dollar practice in beautiful Lexington, KY. All new office structure with gait analysis, med spa and heel pain center in prime location. Amazing benefits and chance to work alongside a forward-thinking podiatrist. Email emenold8@gmail.com with your resume.

ASSOCIATE POSITION NEEDED FOR CENTRAL FLORIDA

FT/PT associate needed for nursing home work. Great compensation and a great way to supplement your income. Must be willing to travel. Contact us at (786) 975-2090 or fax to (847) 674-2113 you may also email to feetwork@aol.com.

PODIATRIC SPORTS MEDICINE FELLOWSHIP - ORANGE COUNTY CA

July 1, 2013 and ending July 31, 2014. $60,000/year, medical, dental, malpractice, and CME allowance. APPLICANTS MUST BE ABLE TO OBTAIN A CALIFORNIA LICENSE. Letter of interest, and CV to: Philip Radovic, DPM, Fellowship Director, Email: Info@feetfixer.com

PM News Classified Ads Reach over 14,000 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 14,000 DPMs. Write to:bblock@podiatrym.com or call (718) 897-9700 for details. Weekly ad rates start as low as $115 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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