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PM News

The Voice of Podiatrists

Serving Over 19,318 Subscribers Daily


September 13, 2017 #6,012 Publisher-Barry Block, DPM, JD

A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2017- No part of PM News can be reproduced without the
written permission of Barry Block

ICSsep1117

ANNUAL SURVEY NOW ONLINE - WIN VALUABLE PRIZES
Congratulations to Cosimo Riccardi, DPM of Fort Walton Beach, FL, winner of last week's prize of a pair of Decibullz Custom Molded Wireless Earphones. 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 2018 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.
 
This week's prize
 
 
This is also your opportunity to vote for the next DPM and non-DPM inductees into the PM Podiatry Hall of Fame.
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PODIATRISTS AND HURRICANE HARVEY
TX Podiatrist Begins Shoe Drive for Harvey Victims
 
"Over the next month, we will be taking shoe donations and distributing them to local churches and other aid organizations," said Dr. Frank Henry, a podiatrist at the Foot Center in Victoria. In the event of a flood, people are at risk of a foot infection as they walk in water to reach higher ground. Shoes that are wet can be infested with bacteria such as E.coli and vibrio. "When shoes are wet, they shrink and become too tight causing foot infections like ingrown toenails, blisters, or foot ulcers," Henry said.
 
Dr. Frank Henry
 
He said foot infections are a particularly dangerous situation for those who have diabetes. "When you evacuate, not many people pack extra shoes with them and they're stuck wearing their only pair," Henry said.
 
Source: Lauren Hernandez, Victoria Advocate [9/7/17]
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PODIATRISTS IN THE NEWS
A Dark Line Under Your Toenail Could Indicate Cancer: MD Podiatrist
 
You notice a straight line under your toenails. It could be: Skin cancer. A dark, vertical line underneath a toenail could be acral lentiginous melanoma, or hidden melanoma—a form of the skin cancer that appears on obscure body parts. (Other hidden melanomas include eye melanoma and mouth melanoma.) “It will be a black line from the base of your nail to the end of the nail,” says Gary A. Pichney, DPM, a podiatric surgeon of The Institute for Foot and Ankle Reconstruction at Mercy Medical Center.
Dr. Gary Pichney
 
“It should be seen by a podiatrist or dermatologist. You want to make sure it’s not fungus, which is usually yellow brown and sporadic throughout the whole nail,” says Dr. Pichney. Although only 5 percent of all diagnosed melanoma cases are the hidden kind, hidden melanoma is the most common type in dark-skinned people. 
 
Source: Kelsey Kloss, Reader's Digest [8/23/17]
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PODIATRISTS IN THE COMMUNITY
 NJ Podiatrists Recognized by Burlington Country Times
 
Jacob Foot & Ankle in Burlington, NJ has been named Best in the Podiatry Category. The practice consists of Stuart Jacob, DPM, who is Board Certified by the American Board of Podiatric Surgery (ABPS) as well as the American Board of Podiatric Orthopedics (ABPO) and William J. Green, DPM, who is Board Qualified by the American Board of Podiatric Surgery (ABPS). Both doctors serve on staff at Lourdes Medical Center of Burlington County, Willingboro, NJ.
 
(L-R) Drs. William Green, Stuart Jacob, and Eugene Timpano
 
Eugene Timpano, DPM was named "One of the Best." Dr. Timpano is a graduate of the Foot and Ankle Reconstructive Surgery Residency at Dekalb Medical Center in Atlanta, Georgia. He has also spent time in Central America on a surgical mission trip, helping children in San Lucas Toliman, Guatemala.
 
Source: Burlington Country Times [9/10/17]
realm

PODIATRISTS AND THE LAW
NBC Dateline Airs Story of NY Podiatrist Who Plotted Wife's Murder
 
NBC Dateline has aired the story of Dr. Ira Bernstein, a Ramapo podiatrist and his lover, Kelly Gribeluk, who plotted to kill Bernstein's wife by hiring a hitman. 
 
The show aired on Friday and can be viewed by clicking here.
 
Source: The Journal News [9/8/17]
ortho10

RELEVANT RESEARCH
Antibiotic Prophylaxis Rarely Prescribed After K-Wire Fixation
 
Results from a recent study revealed that patients treated with percutaneous Kirschner wires were rarely prescribed post-operative antibiotic prophylaxis by attending physicians at orthopedic foot and ankle fellowships. Researchers mailed questionnaires that included three clinical vignettes consisting of a common foot and ankle surgery using Kirschner wire (K-wire) fixation in patients with either no co-morbidities, controlled diabetes, or poorly controlled diabetes with peripheral neuropathy to 112 attending physicians at foot and ankle fellowships. Researchers received surveys from 57% of attending physicians.
 
Twenty-five percent of the physicians indicated they would prescribe a non-diabetic patient post-operative antibiotics for an average of 9.4 days with an average duration of K-wire fixation of 35.1 days, per study results. Researchers reported that 28% of surgeons would prescribe a neuropathic diabetic patient post-operative antibiotics for an average of 13.8 days with an average K-wire fixation duration of 35.4 days. Finally, 32% of physicians said they would prescribe post-operative antibiotics for an average of 14.5 days with an average duration of K-wire fixation of 36.7 days in diabetic patients with neuropathy, according to the results.
 
Source: Casey Tingle, Healio [9/7/17]

Danipro


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MACRA UPDATE
Ready for MACRA? Most Specialty Practices Aren't, Survey Says
 
One hundred percent of specialty providers who responded to a recent survey reported they have “not yet fully grasped” the impact of MACRA (the Medicare Access and CHIP Reauthorization Act of 2015) on their practices. As many as 24% haven’t even started preparing for it, according to the survey undertaken by Integra Connect, a healthcare technology firm focused on value-based payment services, based in West Palm Beach, FL.
 
Most respondents (71%) to the survey characterized their preparedness for MACRA as: "I am learning, but have a way to go." In addition, more than half (56%) of all respondents said they expect to modify their practices to achieve healthcare cost savings under MACRA. To do so, as many as 40% are trying a “do-it-yourself” approach using their current resources and tools.
 
Source: John Murphy, MDLinx [9/6/17]
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FROM PM's CURRENT ISSUE
Twice a week, PM News posts an entire article from a recent issue of our partner, Podiatry Management Magazine. Please note that the views expressed in Podiatry Management Magazine do not necessarily reflect the views of PM News or Barry Block.
\
Today's Featured Article
 
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PRACTICE MANAGEMENT TIP OF THE DAY
5 Habits of High-Performing Medical Practices - Part 3
 
We ran a survey in March 2017 and found that 24 percent of practices qualified as "high performers" who were seeing a lot of growth and success. About 15 percent of practices qualified as "falling behind." What was causing some practices to thrive and others to fail? I found a few surprising correlations:
 
3. Listening to Patients: Opening up to patient feedback hasn't been easy for many medical practices, but our survey showed it matters a lot to the bottom line. More than 80 percent of high-performing practices gather feedback from patients through surveys and online review sites, compared to almost half of falling behind practices that collect no feedback from patients.
 
Source: Daniel Sabido, Physicians Practice [9/1/17]
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CODINGLINE CORNER
Query: Foreign Body Coding
 
I have a patient who came to my office complaining of pain in her right heel that has been present for about one week. X-rays revealed what looks like a needle deep in the heel fat padding near the calcaneus. I am looking for an ICD-10 code for a deep foreign body, right heel, but all I find is a puncture code. 
 
Codingline Question
 
Response: In my opinion, the appropriate diagnosis code would be S90.851A Superficial foreign body, right foot; initial encounter
 
Follow-up encounters would be coded S90.851D (“D” for subsequent visits).
 
Donald R Blum, DPM, JD, Dallas, TX
 
For information on Codingline subscriptions, click here
sigma

YOU CAN'T MAKE THESE THINGS UP

RE: Outrageous Shoe of the Day

What to wear at LEGOLAND?

Source: Naäm Ben via Virtual Shoe Museum

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MEETING NOTICES

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NEED CME CREDITS FAST?

PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME

You can Earn up to 5CPME-Approved CME Contact Hours Online

Earn 15 Contact Hours only $210

(Only $14 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, UT, VA, WV, WI, & WY

Partial required credits can be taken online for AZ, CT, FL, GA, ID, KY, IL, IA, MO, MT, NE, NH, NY, NC, OK, PA, PR, TN, TX,  VT, WA, and DC

Choose any or ALL from 30+ CME Category-1 articles posted


CLASSIFIED ADS - PART 2 ASSOCIATE POSITIONS AND FELLOWSHIPS
ASSOCIATE POSITION - SOUTHERN COLORADO AND NORTHERN NEW MEXICO
 
Busy and growing practice in Southern Colorado and Northern New Mexico area looking for a high-energy doctor seeking full-time employment and can add increased growth to our group. We have several positions and locations in need for new locations. We currently have 9 locations and offer a unique opportunity to treat in under-served areas. Competitive compensation. Ownership opportunity. Buy-in to surgery center and/or physician owned hospital possible. Board eligible/certified necessary. Competent in all areas of conservative and surgical treatment. Our practice is seeking a positive and up-beat addition who is ready to work. Please send CV nlhuge@animasfootandankle.com
 
PODIATRIST FOR HOUSECALLS - NEW JERSEY 
 
Well established and fast growing  Housecall podiatry practice (www.homefootcareservices.com ) is looking for Full-time podiatrist to do house-calls for homebound patients in New Jersey. We are looking for hard working, energetic and compassionate doctor. Salary $100k plus Bonuses and Benefits. Must have NJ podiatry license. Please email resume to lraginsky@gmail.com
 
MOBILE PODIATRISTS NEEDED - LOS ANGELES, CA
 
Full Time Position available for podiatrists to visit home bound patients in the LA area and surrounding areas. Excellent compensation, flexible schedule, dedicated office support staff, cloud based EHR system.  Email CV to: homefootcare@hotmail.com
 
ASSOCIATE POSITION - NORTHERN NJ 
 
Established office w/ 5 DPMs. Large referral base from PCPs, vascular, peds and orthopedists. Well-rounded hospital/surgical center based practice. All aspects of foot and ankle care. Many new patients weekly, solid surgical schedule. Modern office w/ EMR. Involved with residency program. Must have strong ethics and highly motivated. Serious associates only leading to partnership. Must have PMSR/RRA or equivalent training. Competitive compensation package. Starting July 2018. Please email CV to Northnjpod1@gmail.com  
 
ASSOCIATE POSITION AVAILABLE - INDIANA (NORTHWEST) AND ILLINOIS 
 
Looking for an associate to work at our established offices. Individual must well-rounded, personable, good ethics with medical and surgical skills. Must have PSR-24 or greater training. Duties include hospital calls, office patients, wound care, routine foot care, surgical cases in office and hospital setting. Practice has EMR, digital x-ray, Pinpointe laser, and all aspects of DME, vascular testing, ultrasound and more. Competitive salary with benefits. Send CV to: FOOTANDANKLEJOB@GMAIL.COM
 
PARTNERSHIP POSITION – OCALA, FLORIDA 
 
OPPORTUNITY OF A LIFETIME! Looking for a surgically trained podiatrist. Start now. Profits divided evenly from day one. NO BUY-IN. Well established practice in Ocala, FL. The office is located 40 ft from the surgery center. Seriously interested podiatrists please send CV to podiatry42984@gmail.com
 
PM NEWS CLASSIFIED  ADS REACH OVER 18,500 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 18,500 subscribers. For details, click here or write to: bblock@prodigy.net or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at davidekagan@gmail.com  or call (215) 808-0770.
CLASSIFIED ADS PART 1 - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE
PRACTICE FOR SALE - CENTRAL PENNSYLVANIA 
 
23 year solo practice. Between Harrisburg and Penn State. ABFAS certified, modern, fully-equipped, computerized EMR & billing, hospital nearby. Only podiatry practice in county. Low overhead. All facets of podiatry care. 717-903-8734 (leave message) or aev0497@hotmail.com
 
PRACTICE FOR SALE – ALASKA 
 
Recent graduate or other: tremendous opportunity to live and practice in the Last Frontier. Enjoy an excellent lifestyle and practice podiatry the way you’ve been trained. I am relocating outside of Alaska for personal reasons and am seeking a special individual to take over my practice and patients as I’ve been here for 24 years. Serious inquiries only. May reply to KenaiPeninsulaFootDoc@gmail.com
 
PRACTICE FOR SALE - NORTH/CENTRAL INDIANA 
 
Doctor relocating out of state. One location office seeing 50-60 patients per week. Will collect $250K this year with minimal surgery. Good location in medical office building with low overhead may include accounts receivable for right price. Reasonably priced compared to professionally appraised value. Contact doctor at jmsdpm@gmail.com
 
PRACTICE FOR SALE – REDDING, CALIFORNIA 
 
REDUCED PRICE!!! Retiring. Practice comes with ready patient base in area of unlimited potential. Awesome locale with lakes, mountains and rivers in every direction. $200,000 buys building and well established practice. Seller will partially finance and stay as needed during transition. This is a great opportunity!!! reddingpodiatry@sbcglobal.net
 
PRACTICE FOR SALE - AUSTIN TEXAS 
 
40 years in practice EMR and laser for onychomycosis. Digital radiography and ultrasound. Office next to hospital and surgery center. Ownership available in surgery center. Contact Michael Golf, DPM $250,000 price negotiable 5124483668 michaelgolf@sbcglobal.net.
 
PM NEWS CLASSIFIED  ADS REACH OVER 18,500 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 18,500 subscribers. For details, click here or write to: bblock@prodigy.net or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at davidekagan@gmail.com  or call (215) 808-0770.
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.
Guidelines
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  • Notes should be original and may not be submitted to other publications or listservs without our express written permission.
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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.

Barry H. Block, DPM, JD
 
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