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PMNews
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| PM News | |
The Voice of Podiatrists
Serving Over 15,918 Podiatrists Daily
September 10, 2014 #5,160  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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| ANNUAL SURVEY NOW ONLINE - WIN VALUABLE PRIZES | |
LAST CHANCE TO ENTER
Congratulations to Dr. Jennifer D'Amico of San Diego, CA, winner of a dual-core 7" Android tablet. We encourage you to participate in this year's important Annual Survey. Completing this anonymous survey provides us with valuable data, which we will publish in the March 2015 issue of Podiatry Management. It also makes you eligible to win thousands of dollars of valuable prizes. Enter by completing this confidential survey and providing your e-mail address in the comments section on the last page of the survey. The earlier you enter, the more chances you have to win.
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This week's mystery prize |
This week's prize is a mystery prize valued at over $100.
This is also your last opportunity to vote for the next DPM and Non-DPM inductees into the PM Podiatry Hall of Fame.
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| PODIATRISTS IN THE NEWS | |
IA Podiatrist Discusses Plantar Fasciitis
Plantar fasciitis is the most common complaint podiatrists see in the office, says Dr. Mindi Feilmeier, a podiatrist with the Foot and Ankle Clinic at Des Moines University. The plantar fascia is a big ligament on the bottom of the foot that runs from the heel through the arch and up into the forefoot. “Its main job is to really help support the arch and the foot when people are standing and walking,” said Feilmeier, who is also an assistant professor in DMU’s College of Podiatric Medicine and Surgery.
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Dr. Mindi Feilmeier |
It’s usually a combination of factors that lead to plantar fasciitis, which occurs when the ligament becomes stretched and pulled, resulting in “micro tears” in the plantar fascia, she said. Feilmeier encourages seeing a podiatrist, who can diagnose plantar fasciitis with a thorough physical examination involving a biomechanics exam of the foot and leg, and watching a patient walk. An x-ray may also be taken to rule out something more serious, like a stress fracture, and to provide an overall view of the foot, Feilmeier said.
Source: Dawn Sagario Pauls, Des Moines Register [9/8/14]
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| PODIATRISTS AND SPORTS MEDICINE | |
Barefoot and Minimalist Running are Wrecking Feet: NY Podiatrist
The recent trend toward minimalist running shoes or barefoot running can be problematic for those who've been running in supportive shoes for many years, says Dr. Sherri Greene, a New York podiatrist. "Since most people don't train to strengthen their feet, I find many have very weak muscles and tendons. And it's not a good idea if you have biomechanically-challenged feet (e.g. flat feet) or neuropathy."
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Dr. Sherri Greene |
Greene recommends wearing supportive shoes or, if you're hooked on the idea of barefoot running, train to strengthen your feet where they may tolerate a minimalist shoe.
Source: Linda Melone, nextavenue.com [9/9/14]
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| PODIATRISTS AND FOOTWEAR | |
Wrong Size Shoes Can Exacerbate Bunions: MA Podiatrist
Bunions can be made worse by the wrong shoe, or by carrying extra weight, or prolonged periods of standing or walking. Dr. James P. Ioli, chief of podiatry at Brigham and Women’s Hospital in Boston, said wearing the correct shoe size is a good first step in preventing bunions. It’s important to make sure that your toes have enough room. Don’t wear shoes that jam the toes together. High heels are also particularly bad because they move the body’s weight forward and change the mechanics of the foot.
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Dr. James Ioli |
Even if you think you know your shoe size, Dr. Ioli said, the size of your foot can change over time. In women who have given birth, the foot ligaments often relax, causing the foot to get longer and wider. Unfortunately, there are not really any effective non-surgical options to reduce the size or reverse the development of a bunion, said Dr. Ioli. But non-surgical treatments can reduce the pain or discomfort from a bunion and keep it from worsening.
Source: thetimes-tribune.com [9/9/14]
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| HEALTHCARE PRODUCTS IN THE NEWS | |
Apple Rolls Out the Health-Enabled Apple Watch
In a much-hyped event Tuesday, Apple rolled out its new smartwatch that's able to collect health data and share it with providers through the tech giant's HealthKit app, which has drawn interest from major healthcare players such as the Mayo Clinic and Memorial Sloan-Kettering.
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CEO Tim Cook unveils Apple Watch |
The device will be able to track medical and fitness data, including pulse rate, distance, and an accelerometer. That ability to track data will pair with its new HealthKit app, which will debut with the new iOS operating system. The app can aggregate health data from various wearable devices, and store and send them to providers or other entities as the consumer desires.
Source: Darius Tahir, Modern Healthcare [9/9/14]
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| CODINGLINE CORNER | |
Query: CMS Flexibility in Meeting Meaningful Use
I am in my 4th year of reporting Meaningful Use, and I am scheduled to report Stage 2 this year(2014). I use Practice Fusion as my EHR. It is 2014 certified. I was under the impression (according to various sources) that I have the option of reporting Stage 1 this year under the new CMS final rule if I attest that I have not been able to fully implement Stage 2 into my practice work flow despite having 2014 certified technology. Is this still true under the final CMS rule? Is this rule officially effective yet?
Ronald Oberman, DPM, Deerfield Beach, FL
Response: The rule has been finalized. You are correct about being able to report Stage 1 2014 objectives and quality measures (there are also other options using 2011 CEHRT or a combination of the two) if you can attest to not being able to fully implement the 2014 CEHRT.
However, and this is the key, the inablility to fully implement the 2014 CEHRT must be related to delays in availability of the software. If you are going to attest to this, I recommend that you have something in writing from Practice Fusion indicating that there were delays in making the 2014 CEHRT available to their subscribers. Otherwise, if you are audited and cannot document that there were delays in availability, you could have problems. The entire final rule is posted on the CMS website and does cite some examples as to what constitutes inability to fully implement 2014 CEHRT.
Jim Christina, DPM, Bethesda, MD
Codingline subscription information can be found here
APMA Members: Click here for your free Codingline Silver subscription
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| RESPONSES/COMMENTS (CLINICAL) - PART 1 | |
From: Don Peacock, DPM
This would be a great case for MIS surgical correction. The first metatarsal angle would lend itself well to a Silver minimally invasive surgical bunionectomy; preferably, combining this with a minimally invasive Akin osteotomy. For the hammertoe corrections, she would do well with MIS correction as well. For treating the metatarsalgia, I recommend an endoscopic gastrocnemius recession if the patient has equinus.
All of these procedures can be performed with percutaneous incisions. I do not recommend performing the Keller procedure due to the prospect of exacerbating the metatarsalgia.
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| RESPONSES/COMMENTS (CLINICAL) - PART 2 | |
From: William Deutsch, DPM, Paul Busman, DPM, RN
I'm not sure we're looking at the same x-ray, but there is an exostosis projecting dorsally, which is causing the nail problem. So the phalanx must be addressed to give the patient a chance for a healthier nail bed and plate.
Your patient might consider a permanent total nail removal. It would certainly look less obvious than her current nail. I did that quite a few times for patients, and they generally agreed that it was at least a cosmetic improvement over their severely dystrophic nail. I had more than one female patient tell me that they painted the nail bed to match the other nails' polish and no one was the wiser. My sister-in-law came up with a twist on that. Each summer, she glues an artificial nail on the bed and paints that. Unless you look really closely, it's undetectable. For the rest of the year while she's in closed shoes, she doesn't bother.
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| RESPONSES/COMMENTS (CLINICAL) - PART 3 | |
From: Neil Levin, DPM
I have been experiencing similar issues to Dr. Borreggine's more recently, and I have been in practice for more than 30 years. I believe that our patients are becoming more non-compliant with ambulation, causing more swelling. We lead busier lives, and despite all of our instructions, patients tend to maintain as much of their pre-surgical activity level as they can. I believe your issues are not dressing-related.
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MEETING NOTICES - PART 1
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| RESPONSES/COMMENTS (CODINGLINE CORNER) | |
From: Dennis Shavelson, DPM
I realized that I was out of bounds in my posting regarding neuroma injection codes and that I lack the necessary credentials to relate their use to fraud.
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MEETING NOTICES - PART 2
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Arkansas Podiatric Medical Association Annual Meeting
Little Rock, Arkansas
Friday and Saturday October 3rd and 4th
Includes nationally renowned speakers such as Dr. Brad Bakotic, Rem Jackson, and Chad Schwarz. An Arthrex cadaver lab is included for those interested.
15 hours of CME credits.
$199 before Oct 1st or $275 at the door. $499 for non-APMA members
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Robin Williams' Shoes
Robin Williams was an incredible actor and personality who enriched our lives with his talents. He will be sadly missed.
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Robin Williams' Shoes |
This is a pair of his personally worn, autographed, funky sneakers from my personal collection of celebrity shoes. I have the largest, privately-owned collection of sports/celebrity shoes in the world.
Hartley Miltchin, DPM, Toronto, Canada
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MEETING NOTICES - PART 3
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PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME
You can Earn 50 CPME-Approved CME Contact Hours Online
Earn 15 Contact Hours only $179
(Less than $13 per credit) http://www.podiatrym.com/cme.cfm
All required credits can be taken online for AL, AK, AR, CA, CO, CT, DE, HI, IN, KS, KY, LA, MA, ME, MD, MI, MN, MI, NV, NJ, NM, ND, OH, OR, RI, SC, SD, VA, WV, WI, & WY
Partial required credits can be taken online for AZ, FL, GA, ID, IL, IA, MO, MT, NH, NY, NC, OK, PA, PR, TN, TX, UT, VT, WA, and DC
Choose any or ALL (50 CME Contact Hours) from the 30+ CME Category-1 articles posted
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| CLASSIFIED ADS |
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
ASSOCIATE POSITION - BANGOR, MAINE
Seeking personable, well rounded individual to join our well established, modern three doctor practice performing all aspects of foot and ankle care. Digital x-ray, EHR, DME, etc. Competitive salary with bonus structure and benefits. Early partnership opportunity for the right person. Send letter of interest and CV to: Mainoffice@acadiafootandankle.com
ASSOCIATE POSITION - MASSACHUSETTS
Boston Medical Center. Full-Time Career Opportunity; Boston University School of Medicine Academic Appointment for Clinical/Teaching/Research. 3 year Residency Graduate – passed all boards; General Surgery Department. High volume Diabetes/Wounds/Limb Salvage; One day/week in City Health Center; participate in Residency Training; join in Research effort. Diversity encouraged. Please forward CV to Jill.Dolan@bmc.org
ASSOCIATE POSITION - KANSAS CITY
Kansas City may be the perfect move for you and your family. We are looking for an entrepreneurial-minded associate who wants to grow and then own part of an already successful practice. If you are the right candidate for this associate position, you will enjoy a competitive compensation package and you will be working with doctors who are as committed to your success as we are to our own. Go to:www.YourFutureInPodiatry.com for full details.
LOTS OF OPPORTUNITIES - SOUTHEAST GEORGIA STATESBORO
Willing to live in Rural area in a College town. Beautiful weather year round. Seeking experienced, min of 5 years, Family-oriented podiatrist. If you have a great attitude and you are looking to build a long-term relationship with the practice , Don't miss out on this one. Must be PSR-24 trained. Full range of services including Surgical Suite/ Ambulatory Sx Center in the practice. E-mail cover letter & CV to melissafoot@atlanticfeet.com
ASSOCIATE POSITION – AUSTIN TX
Immediate opening for a full time associate to start within the next month to join a successful, established, dynamic medical/surgical practice in Austin, TX. Must have a current TX license and TX Medicare number. Preference with experience and board qualified or certified, hard-working and ethical. Competitive salary with full benefits. Please be professional with serious/qualified inquires only. Please email to Drumpire@gmail.comwith resume and CV and phone number and/or leave message at 512-293-7559
ASSOCIATE POSITION - WESTERN VIRGINIA
Private Orthopaedic Group Practice in seeking rear foot surgically trained podiatrist. Surgical suite on-site; surgical and wound care privileges at 1 hospital. BC or BE required. Base salary + bonus + benefits. Will acquire established practice from podiatrist who is relocating. Email Lindsay McHone, Practice Administrator at lindsayathoc@ntelos.net.
ASSOCIATE POSITION - TAMPA BAY
Well established, multi-doctor practice in the Tampa Bay area. Preference to PSR 24+/Florida license. High-tech, EMR, digital x-rays, sports medicine, surgery. No NH/HMOs. Excellent hospital privileges available. Choose an area of practice concentration that you are passionate about and enjoy a lifestyle second to none. CV to floridapodiatrist@tampabay.rr.com
IMMEDIATE POSITIONS AVAILABLE - BUFFALO
Looking for podiatrists to see residents in nursing homes in and around Buffalo. Great opportunity for full-time or part-time income. Positions available immediately! Email inquiries to phasetwopodiatry@gmail.com
PRACTICE FOR SALE – AUSTIN, TX
Motivated seller with a very busy, extremely well established multiple podiatry office in Austin Tx, consistently seeing up to 80 patients daily and performing over 300 surgeries a year. 8 fully equipped treatment rooms, MLS laser and toenail lasers, digital x-rays, etc. Extremely lucrative practice with strong growth potential. Price reduced to sell quickly. Some financing possible. Serious inquiries only to Jeff Rabkin @ 512-293-7559 or jefreetx@hotmail.com
PRACTICE FOR SALE - BROOKLYN / QUEENS, NY
30 year old general podiatric practices in Brooklyn and Queens with good mix of biomechanics, RFC,, sports medicine, surgery and DME. Both locations are in multi-cultural upper middle/working class neighborhoods with good mix of payers and self-pay. Fully computerized using ICS (SAMMY). Primary care and specialty physicians at both locations are constant source of referral of new patients, including student athletes from NYC public schools. Owner semi-retiring to pursue other interests. Willing to stay on during transition. Serious inquires only: brooklynpodiatrist@hotmail.com
PRACTICE FOR SALE - FAIRFIELD COUNTY, CT
60 miles to Manhattan, 15 miles to Westchester county. Busy solo practice, grossing 280k on 2.5 days a week. Extremely low overhead. Beautiful office building with EMR. Practice shares space and staff with 6 MDs. Amazing referral base and growth potential. All surgery is currently referred out. Serious inquiries only contact: Samalsal@yahoo.com
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
FELLOWSHIP POSITION - NAPLES, FL
Reconstructive Ankle /Rearfoot, Ex Fix, arthroscopy fellowship. Must have 3 years residency + Board Qualified RRA by ABPS. 1 year spot. FL license. LOI and LOR from director required. $50,000 stipend. Start 1/2015 or 8/2015. mny1029@gmail.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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- Subscribers are reminded that they have an ethical obligation to disclose any potential conflicts of interest when commenting on any product, procedure, or service.
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