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| PM News | |
The Voice of Podiatrists
Serving Over 15,791 Podiatrists Daily
July 24, 2014 #5,119  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2014- 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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| PODIATRISTS AND HUMANITARIAN EFFORTS | |
IN Podiatrist Works With Haitian Physicians to Reduce Amputations
By 10 am, there is a solid rhythm going in the Haitian Foundation for Diabetes and Cardiovascular Disease (FHADIMAC) clinic in Port-Au-Prince, Haiti. A multitude of different patients are seen, including a 12 year old boy in pain, unable to walk without crutches. His condition, subtalar joint coalition, lay undiagnosed and untreated for the past three years. He is now on his way to getting treatment for his deformity. Dr. Patrick DeHeer, a Franklin, IN podiatrist has been busy working alongside Haitian physicians and his fellow, Dr. Fairuz Parvez. She is the first fellow for the International Mission Podiatric Medicine and Surgery Fellowship.
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Drs Nancy Larco, Frantz Bijou, Joanne Pierre, and Philippe Rousseau, Podiatry technician: Marie Helena, Drs. Patrick DeHeer and Fairuz Parvez |
The latter half of the day was just as busy, filled with lectures for our attentive Haitian colleagues.They have been working to establish a consistent and steady Haitian diabetic foot program. And the progress is phenomenal. Our Haitian colleagues are making a significant impact on reducing amputations for the diabetic foot in Haiti. Close to 40 patients are seen by the end of the busy morning. Clearly, the need is there. One of the next steps for Haiti will be to develop a Haitian podiatric residency program. There is still some way to go in Haiti, but the promise is palpable!
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| PODIATRISTS AND PUBLIC HEALTH | |
Onychomycosis Usually is Due to Immune-System Defect: DC Podiatrist
Dr. Andrew Carver, a Washington podiatrist whose specialties include laser treatment of nail fungus infections, says that while people can acquire fungus at a nail salon, the average healthy person is not likely to walk out with diseased toenails and toes. In most cases of toenail fungus, he says, "there's an immune-system defect" that explains it.
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Dr. Andrew Carver |
"Just make sure you aren't being treated with used pumice" - this porous rock used for exfoliating skin can harbor bacteria - "and don't be afraid to ask questions" about sterilization procedures for all equipment. The gold standard is to clean metal tools in an autoclave, a machine that sterilizes instruments using high-pressure, high-temperature steam. Cleaning tools in liquid disinfectant can kill most germs and viruses if they soak for at least 10 minutes, but that won't guarantee sterility, the doctors says.
Source: Christina Ianzito, Washington Post [7/21/14]
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| PODIATRISTS IN THE COMMUNITY | |
SD Podiatrist Joins Regional Medical Clinic
Regional Health Physicians has announced that Nathan Hensley, DPM, a podiatrist from Regional Medical Clinic – Western Hills Professional Building in Rapid City, will join the Massa Berry Regional Medical Clinic in Sturgis.
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Dr. Nathan Hensley |
Dr. Hensley received his podiatric degree at Des Moines University in Iowa and went on to attend additional residency training at Trinity Regional Medical Center in Fort Dodge, Iowa, where he completed a 36-month comprehensive program with additional rear foot and ankle certification. The commitment and experience of Dr. Hensley is a benefit and provides an opportunity for residents to receive care close to home.
Source: Rapid City Journal [7/22/14]
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| MEETING NEWS | |
APMA Meeting to Bring 2,000 to Hawaii
More than 2,000 podiatric specialists, exhibitors, and guests are expected to attend the American Podiatric Medical Association’s annual scientific meeting taking place this week at the Hawaii Convention Center. The last time APMA held a conference in Hawaii was in 2008.This year's conference, which starts Thursday and ends Sunday, is expected to generate an estimated $9.4 million in visitor spending, $916,000 in state tax revenue, and more than 16,000 booked room nights.
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Hawaii Convention Center |
"The American Podiatric Medical Association had a very successful event in Hawaii back in 2008, so it is a great privilege to welcome them back again this year for this important meeting," Brian Lynx, vice president of meetings, conventions and incentives for the Hawaii Tourism Authority, said in a statement.
Source: Jason Ubay, Pacific Business News [7/21/14]
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| IN THE COURTS | |
D.C. Appeals Court Strikes Down ACA Insurance Subsidies for Federal Exchanges
A federal appeals court has ruled the Obama administration cannot subsidize insurance premiums for nearly 7 million Americans, dealing a serious blow to the Affordable Care Act. The administration plans to appeal the ruling to a full panel of the left-leaning D.C. Circuit Court.
On Tuesday, a three-judge panel of the D.C. Circuit Court of Appeals in Washington ruled Tuesday that the text of the reform law clearly forbids income-tax subsidies to go to low- and middle-income Americans who use one of the federally run insurance exchanges. The tax subsidies have been flowing since the beginning of the year, based on a 2012 interpretation of the law by the IRS. The ruling, if upheld, could end insurance subsidies in as many as 36 states.
Source: Joe Carlson, Modern Healthcare [7/22/14]
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| RESPONSES/COMMENTS (EHR) | |
RE: Confusion About Utilizing 2011 Software to Attest for 2014
From: Michael Brody, DPM
Recently, there has been some confusion about whether providers have the option of utilizing 2011 Certified Software to attest for Meaningful Use in 2014. This is based upon a Notice of Proposed Rule Making (NRPM) published by CMS. This is NOT a final rule and will not become final until September or October and the final rule may change and may not be the same as the proposed rule.
Based upon the PROPOSED rule, if a provider utilizes 2011 certified (software), they must attest that the vendor could NOT provide 2014 certified software in a timely manner when they attest for meaningful use. If a provider attests to this, and they are audited for Meaningful Use, the auditor may find that the...
Editor's note: Dr. Brody's extended-length letter can be read here.
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| RESPONSES/COMMENTS (CLINICAL) - PART 1A | |
From: Thomas Graziano, DPM, MD
I find Dr. Bregman's statement "most importantly don't cut the nerve out" when referring to neuroma treatment irresponsible. I venture to say there is more evidence in favor of surgical excision of neuroma than for "decompression" of the nerve. We should not be making statements like that on this forum. Its not fair to younger practitioners who are looking for direction. It's worse for the profession at large, as litigators will hang on to an opinion such as Dr. Bregman's like a cheap shirt.
The bottom line is that there are a number of treatment modalities for neuroma. If "decompression" or conservative care works for you, and you want to impart that on your peers, publish the data. For most of us who have been operating for some time, excision is still tried and true.
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| RESPONSES/COMMENTS (CLINICAL) - PART 1B | |
From: Peter Bregman, DPM
With all due respect to Dr. Sullivan, doing something the old way that works is not really good scientific practice. Should we still do Austins without fixation? They still work, but there are better ways to fixate a bunion and allow early ambulation, aren’t there? There were probably more non-unions without fixation than with.
What Dr. Sullivan and many others may fail to realize is that unless they have done a 5-year follow-up of every patient they have cut the nerve out in the case of Morton’s nerve entrapment, they cannot know who went on to a stump neuroma or was...
Editor's note: Dr. Bregman's extended-length letter can be read here.
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| RESPONSES/COMMENTS (PM NEWS QUICKPOLL) | |
From: Estelle Albright, DPM
Reading the results to the current quick quiz, I wonder why almost 40% of podiatrists are not BLS-certified. Don't most states require this for licensure? Or for hospital privileges? And why, even if not required, are so many podiatrists not BLS certified? It's easy and inexpensive to get certified, and I think we owe it to our patients to do so. Staff also should be BLS-certified, in my opinion. Save a life---learn BLS.
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| RESPONSES/COMMENTS (CODINGLINE CORNER) | |
From: Ron Freireich, DPM
If we see a patient for a mycotic nail care visit and then see them two months later for the same chief complaint, how different can one's progress note be? Why are we taking something so simple and making it so complicated?
Editor's comment: PM News does not provide legal advice. Most insurance companies pay providers to treat conditions, not to maintain them. If a patient presents with mycotic nails every two months and all you do is debride them, the question arises as to the approriateness of treatment. Has the patient been given the option of an oral antifungal? Has the patient been prescribed or dispensed a topical antifungal? Is the condition improving, getting worse, or staying the same? Has the patient been educated on the importance of pedal hygiene or the availability of UV antifungal shoe sanitizers? Any technician could debride mycotic toenails, but as podiatric physicians, we have the responsibility to treat onychomycosis. While a cure is not usually feasible, treatment options are.
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MEETING NOTICES - PART 1
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Walking Boot of the Day
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Perfect for the 4th of July, Flag Day, or Memorial Day |
One of my patients who was getting tired of her "ugly" walking boot brace gave it some patriotic blinging-out for the 4th of July. I was impressed with her creativity!
Source: Dr. Kevin Kirby
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MEETING NOTICES - PART 2
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| CLASSIFIED ADS |
EQUIPMENT FOR SALE – RITTER PODIATRY CHAIR
PB Ritter chair, lift, back, tilt, and foot hydraulic. All functions working Black upholstery. $750 or best offer please call 212-724-4457 or email drrottenbergsoffice@gmail.com to view chair, click here
SPACE TO SHARE - MANHATTAN AND LI
Desirable locations on Upper East Side, Gramercy, the Financial District, and Plainview (North Shore Long Island). Extremity MRI and cat scan available in selected offices. Call 516 476-1815 PODO2345@AOL.COM
PRACTICE FOR SALE - MANCHESTER, CONNECTICUT
Well-established, 35-year-old reputable practice/condo with approx 2,500 Square ft. rental space. Grossing approximately $350,000. All phases of podiatry. Flexible terms. Contact Dr. Loren Schneider drsch52@hotmail.com
PRACTICE FOR SALE - AUSTIN, TX
Very busy extremely well-established multiple podiatry office seeing up to 80 patients daily. 8 fully equipped treatment rooms, MLS laser and toenail lasers, digital x-rays, etc. Office wired for EHR. Extremely lucrative practice priced to sell quickly as the doctor is retiring after 30 years, for personal reasons. Serious inquiries only to Jeff Rabkin @ 512-293-7559 or Jefreetx@hotmail.com.
OFFICE FOR SALE - S.E. FLORIDA
20 year old office, South Palm Beach County. Owners looking to semi-retire. Location in very busy section of Delray - Boynton. Serious inquiries only. Asking $175,000. Email reply - Bafamt@aol.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
ASSOCIATE POSITION – VICTORIA, BRITISH COLUMBIA
Associate for multi-office practice 100k to start with buy-in option. Located in beautifulVictoria British Columbia. Reply to dr.cole@shaw.ca
ASSOCIATE POSITION – HOUSTON, TEXAS
Full or Part-time associate to join board-certified podiatrist in a rapidly expanding, modern podiatry practice. We are located in one of the fastest growing cities and most desirable states for podiatry in the country. EHR, digital x-rays, multi use laser, all aspects of DME and major area hospital affiliations. No wound care or nursing homes. Current Texas podiatrists welcome. Salary, bonus, benefits and partnership available. Send C.V. with salary and benefit expectations: faajobs@gmail.com
ASSOCIATE POSITION - LOUISVILLE, KENTUCKY
available immediately in a busy high visibility office with digital x-ray and 3 years’ experience in EMR. Good patient volume and potential for partnership or purchase. Contact samuel10530@yahoo.com
ASSOCIATE POSITION – NORTHWEST INDIANA
Busy podiatry practice looking for highly-motivated full time associate to start immediately. Located in Northwest Indiana, about 1 hour from Chicago. Email resume to info@friendlyfootcare.com
ASSOCIATE POSITION - SOUTHERN NEW JERSEY
Full-time board qualified/certified podiatrist. Motivated, ethical. Salary plus bonus. Health insurance , 401k Email; resume to: Njfootdr722@gmail.com
ASSOCIATE POSITION, PART-TIME - NJ
Can you handle a challenge? Associate wanted for amazingly busy practice. Must be enthusiastic, outgoing, surgically trained but conservatively minded. The sky’s the limit. Wonderful environment and great support team. Great pay with potential for expansion Bergen County, NJ. For further information, email to njfootankle@yahoo.com or fax to 201-261-0058.
ASSOCIATE POSITION – LONG ISLAND, NY
Board certified podiatrist with an excellent bedside manner needed in mid-Nassau County 2-3 days a week. You must be caring, dedicated, listen to patients, and play well with others. Digital x-rays, PAD NET, Sammy EHR, nail laser, and other equipment will be at your fingertips to make your job easier. Experience with Sammy EHR is preferred, but we will train the right person. We look forward to receiving your CV along with references at: healthyfeetLI@gmail.com
ASSOCIATE POSITION - RICHMOND, VIRGINIA
Motivated DPM Independent contractor needed for busy practice to work in our 2 offices. Outside retirement facilities are an option. Hospital and surgery center privileges available. Send CV to PO Box 8211, Richmond, VA 23226 or odiel@comcast.net.
ASC STAFF PRIVILEGES AVAILABLE - NEW JERSEY
Fair Lawn ASC (ambulatory surgical center) is accepting applications for staff privileges. NJ license needed. Patient transportation available in the tri state area. Equity buy-in available. Call 516 476-1815 PODO2345@AOL.COM
PM News Classified Ads Reach over 15,500 DPMs and Students
Whether you have used equipment to sell or are 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. 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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