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PM News

The Voice of Podiatrists

Serving Over 19,277 Subscribers Daily


November 03, 2017 #6,050 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

richieoct1617

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RhettOct3017

PODIATRISTS IN THE NEWS - PART 1
CA & MA Podiatrists Discuss Controversial Use of HBOT
 
Hyperbaric therapy has also been criticized for being overused for boosting corporate profits. As detailed in an article published in June 2017 by Kaiser Health News, hyperbaric chambers installed at hospitals are often owned and managed by wound-care companies who share profits with the hospitals. Dr. David Armstrong, a professor of surgery at the University of Southern California in San Diego, has a similar assessment. “I do not believe that the criteria for who will benefit and who will not is well-delineated right now, and I believe that is part of the problem,” he says.
 
Drs. David Armstrong and John Giurini
 
Dr. John Giurini, doctor of podiatric medicine, chief of podiatry at Beth Israel Deaconess Medical Center in Boston, uses hyperbaric oxygen for some people who have diabetes-related wounds, but he emphasizes that it should only be used in addition to good standard wound care. “If somebody walks into an office with a wound, and that’s the first thing that they do or the only thing that they do, that’s probably not the right place to be,” he says. “Number one, it's not for everybody. Number two, it's not going to be successful in every case. But it's just another thing in our toolbox to treat these more serious and more difficult diabetic wounds,” says Dr. Giurini.
 
Source:  Alice Callahan, Everyday Health [11/1/17]
anodyne

2020Oct3017B

PODIATRISTS IN THE NEWS - PART 2
PA Podiatrist Recommends Patients Use Two Pairs of Nail Clippers
 
It may seem extravagant, but you should have two pairs of clippers in your medicine cabinet. Toenail clippers are larger, both in width and thickness, than your typical fingernail clippers, which allows you to make smoother cuts, says Christopher R. Hood Jr., DPM of Premier Orthopedics and Sports Medicine in Pottstown, PA.
 
Dr. Christopher Hood
 
“Use your toenail clippers just for your toes, and use the smaller clipper for your fingernails to not transmit foot fungus or bacteria to your fingernails, or vice versa,” says Dr. Hood. And make sure to clean your clippers after each use. “This can be as easy as soaking in dish detergent or anti-bacterial soap with warm/hot water for 10 to 15 minutes, and then drying  (them) afterwards so they do not become rusty,” he says.
 
Source: Emily Shiffer, Men’s Health [10/30/17]
bakosep417

PODIATRISTS IN THE COMMUNITY - PART 1
NY Podiatry Office Closes After 45 Years
 
For 45 years, Dr. Hiram Chirel and his wife, Dr. Elba Chirel, have run the North Shore Podiatric Foot Care Consultants in Port Washington. But that time has come to an end, as the couple announced that they would be closing their practice and moving to Florida. “As you get older, the time comes to move on to the next thing,” Hiram Chirel said. “Ordinarily, I wouldn’t consider moving, but it’s gotten more difficult as I am 86 years old.”
 
Drs. Elba and Hiram Chirel
 
When asked about his proudest accomplishment, he said it was the care that he was able to provide to all who visited the practice. But he also mentioned his time as president of the New York State Podiatric Medical Association, a capacity in which he served from 1995 to 1997.
 
Source: Luje Torrance, The Island Now [11/1/17]
realm

PODIATRISTS IN THE COMMUNITY - PART 2
AZ Podiatrist Joins OrthoArizona’s Foot & Ankle Division
 
OrthoArizona, a premier private orthopedic practice with more than 70 physicians and 25 locations throughout the Phoenix metropolitan area, announced  that Troy Wilde, DPM has joined the practice as a Foot and Ankle Hospitalist. Dr. Wilde will provide acute foot and ankle care within the hospital systems in the East Valley. 
 
Dr. Troy Wilde
 
Dr. Wilde graduated from Temple University School of Podiatric Medicine and later completed an in-depth, three-year surgical residency at the University of Texas Health Science Center at San Antonio. He is is certified by the American Board of Foot and Ankle Surgeons and is qualified in foot surgery.
 
Source: AZ Big Media [11/1/17] 
marlinzaug2117

PODIATRISTS IN THE COMMUNITY - PART 3
NY Podiatrist’s Foundation Makes a Difference
 
Heavenly Productions, the Armonk-based foundation founded by podiatrist Dr. Kathy Reilly Fallon participated in Make A Difference Day by providing lunch for children and their families at the Ronald McDonald House in Valhalla. Make A Difference Day, started in 1992, is one of the largest annual single-days of service nationwide.
 
Dr. Kathy Reilly-Fallon (2nd from R) with volunteers
 
Volunteers served wraps, chips with salsa dip, fruit salad, cookies, and Halloween cupcakes. 
 
Source: Sam Barron, Armonk Daily Voice [11/31/17]
Blainesep417

OBI627

PRACTICE MANAGEMENT TIP OF THE DAY
Ways to Improve Patient Health Literacy - Part 4
 
4. Take time to talk
 
"Nothing conveys important information better than a one-on-one dialogue between you and the patient. At One Medical, we have structured our patient visits to permit plenty of time for communication in a relaxed, trusting atmosphere, allowing our patients the freedom to question and express any and all concerns. Because we stress shared-decision making, patients also feel empowered as participants in their care; this engages the patient and opens the lines of communication and furthers understanding." - Malcolm Thaler, MD, internal medicine specialist, One Medical, New York City
 
Source: Bob Sandrick, Physicians Practice [10/26/17]
OHIOct217

CODINGLINE CORNER
Query: ICD-10 and CPT Coding for Right Foot Surgery
 
What are the best ICD-10 and CPT codes for the following surgery performed on the right foot?
–  Revision of a scar (8 cm long, causing severe contraction of the first MPJ);
–  Releasing the involved extensor hallucis longus tendon and repairing it; and
–  Excising the plantar prominent first metatarsal head
 
Rajesh Daulat, DPM, Glendale, AZ
 
Response: The CPT Manual says for scar revision to use a complex repair code such as CPT 13100-13102 with L91.0 for hypertrophic scar.
 
For the contracture release of the extensor hallucis longus tendon, I suggest CPT 28270 with ICD-10 code M20.5X1 (toe deformity), and for the plantar condylectomy of the first met head, I would use CPT 28122 with ICD-10 code M25.774 for exostosis.
 
Joseph Borreggine, DPM, Charleston, IL
 
For information on Codingline subscriptions, click here

mlboct3017


QUERIES (NON-CLINICAL)
Query: New Medicare Numbers
 
On April 1, 2018, CMS will start changing Medicare numbers to different ones to protect patients from identity theft. I understand that there will be a grace period for the change-over. My question is this: Are we supposed to start changing the ID numbers in April 2018 and then bill Medicare accordingly for services rendered? If so, then will beneficiaries (patients) know to present the new Medicare number to us? Or will we need to start inquiring at that time? What about any nursing home patients that we may see?
 
Joseph Borreggine, DPM, Charleston, IL

OHIoct917C


ICSsep1117


RESPONSES/COMMENTS (NON-CLINICAL)
From: Hal Ornstein, DPM
 
I suggest contacting medical suppliers. Often, they will provide guidance with office design, even if you are not a customer. The devil is in the details when designing an office. I highly recommend using a designer and architect who specialize in medical offices. When you have a rough draft, attend a practice management meeting to ask the attendees for their ideas on the design.   
 
Hal Ornstein, DPM, Howell, NJ
RediH-thotics

YOU CAN'T MAKE THESE THINGS UP

RE: Outrageous Shoe of the Day

Graphene – the "wonder material" composed of a one-atom-thick sheet of linked carbon atoms – has already been used in products such as helmets, microphones, and light bulbs. Now, it has found its way into a prototype shoe that helps keep your feet cool. Among its other desirable qualities, graphene is very good at conducting heat.
 
This graphene shoe draws heat from your feet.
 
With that in mind, researchers from the Istituto Italiano di Tecnologia (ITT) teamed up with Italian shoe manufacturer Fadel to put graphene in the insole of a sandal. More specifically, they added a small amount of graphene flakes to the polyurethane that ordinarily makes up the insole. While the insole contains only about 1 percent graphene, that's still enough to improve its heat dissipation by a claimed 50 percent.

Source: Ben Coxworth, New Atlas [11/1/17] 

DrRem37

MEETING NOTICES

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stlouismar2017

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


CLASSIFIED ADS PART 1 - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE
PRACTICE FOR SALE – WESTCHESTER COUNTY, NY 
 
Are you ready to be your own boss? Well-rounded, successful practice located in Westchester County, NY. Turnkey opportunity. Will stay as long or as short as needed to allow for a smooth transition. Fantastic location, modern office and favorable lease terms. Email letter of intent and C.V. to DPM626@yahoo.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 2 ASSOCIATE POSITIONS AND FELLOWSHIPS
ASSOCIATE POSITION - NEBRASKA
 
Busy practice in Central Nebraska looking for a full-time associate. Board qualified/certified necessary. Ability to step right in and be busy from day one. Partnership opportunity. Buy-in to surgery center and/or physician owned hospital possible. Competitive compensation with good benefits. Must be competent in all areas conservative and surgical treatments of the foot and ankle. We are looking for a positive and upbeat doctor who is ready to work. Email CV to footdoc5020@gmail.com.
 
POSITIONS AVAILABLE - MISSOURI, KANSAS, OKLAHOMA
 
Preferred Podiatry Group is seeking providers to join our growing practice servicing long term care facilities in several areas.  We offer a competitive commission based income as well as a benefit package to our employed podiatrists. Full-time and part-time positions are available.  Contact Dr. Chris Kestner at ckestner@ppgpc.com .
 
ASSOCIATE POSITION – DELAWARE,  OHIO 
 
Do you dream of practicing in a beautiful environment with three supportive, qualified colleagues and staff who are passionate about providing exemplary care? We have been thriving in Delaware, Ohio, near Columbus, for 35 years.  Senior doctor retiring July 1, 2021.  You could be a co-owner in 3 ½ years.  If you’re passionate, positive, ABFAS qualified, and want to learn the “business” of practicing medicine, we should meet.  Visit us at www.FAAWC.com. Contact Elia Ali at elia@faawc.com
 
ASSOCIATE POSITION – NEW YORK CITY 
 
Manhattan, Bronx, & Brooklyn practice looking for highly trained DPM. Seeking excellent professional skills and communication with a team. Send CV, salary requirements to  pmrbfootdocs@gmail.com
 
ASSOCIATE POSITION - ST AUGUSTINE FLORIDA
 
Busy practice looking for a full-time associate. PSR-36 Board qualified/certified foot and ankle surgeon. My practice has state-of-the-art equipment with the latest technologies and cutting edge procedures. Candidate must be personable, outgoing and motivated with excellent clinical and surgical skills.  Ability to be busy from day one. Partnership opportunity. Must be competent in all areas conservative and surgical treatments of the foot and ankle. Competitive salary and benefits. Email CV to drfootwound@gmail.com
 
ASSOCIATE POSITION – SAN FRANCISCO, CA 
 
We have an immediate, full-time opening in our fast-paced, technologically driven, Sports Medicine Practice. If you’re looking for a collaborative team environment, with an emphasis on work-life balance then we want to hear from you. No travel. No wound care. No Medicare. Candidate must have strong biomechanical and surgical background. Generous salary and benefits. Applications accepted online at http://www.fdfac.com/z/about-careers.html
 
ASSOCIATE POSITION - MULTI-SPECIALTY GROUP IN LOS ANGELES 
 
Join the group/ limb preservation team and our teaching faculty. Must be well trained in limb preservation, trauma, and reconstructive foot and ankle surgery. Starting guaranteed base salary of 120,000/yr with incentives & benefits. Send CV with 3 references to podiatricri@yahoo.com  attention Stan Mathis, DPM
 
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.
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Barry H. Block, DPM, JD
 
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