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11/27/2017    

RESPONSES/COMMENTS (NEWS STORIES)



From: Dan Klein, DPM


 


I provided podiatric services to about 10 nursing homes for about 20 years. I advised patients about the “routine foot care” clause and collected fees from the patient’s family. I was approached by a Chicago-based company run by a podiatrist, who asked me to work for them doing essentially routine foot care for a salary. They would, in turn, bill CMS for these services. When I explained to this company that these services were non-covered, and I would not commit fraud, they suggested that I diagnose conditions that would allow them to bill for the services. 


 


When I refused to collude with this company, they advised me that my relationship with these homes was in jeopardy and they would find another podiatrist who would work with them. To my dismay, I was advised by these same homes that my services would no longer be needed and they were going with another podiatrist who would do these services. So after 20 years of service to these homes, I lost out to a podiatrist who would create diagnoses, and often embellish conditions that didn’t exist for each resident.


 


Years later, the same Chicago-based company was cited by the Federal Government and the owners of the company were fined and going to prison for fraud. My integrity cannot be bought! Without integrity, a podiatrist, a doctor, a person is nothing!


 


Dan Klein, DPM

Other messages in this thread:


09/17/2018    

RESPONSES/COMMENTS (NEWS STORIES) - PART 1A


RE: IL Podiatrist to Retire in December 


From: Ralph Graham


 


Please allow me to join with many others in wishing Dr. Lowell Weil the very best in his retirement and for many years to come. In addition to his incredible contribution to podiatric surgery in the USA, he is also an acknowledged leader in the UK. Without his encouragement and educational participation in the 1970s and 1980s, there would be no foundation for the developments we have seen in the UK.


 


I have also been treated to his family hospitality on many occasions when in Chicago, and his personal interest in my development over the years I hold most dear. I anticipate retirement next year and look back on a career that would have been so different without the influence of Lowell.


 


Ralph Graham, Witham, Essex, UK

09/14/2018    

RESPONSES/COMMENTS (NEWS STORIES) - PART 1



From: Terrance John Mueller, DPM


 


The statement from UK podiatrist Emma Supple ("When you have weak feet, they tend to collapse down every time you take a step and fall inwards because there’s no arch integrity. That can cause a slump in posture — people with weak foot muscles will often slouch forwards rather than stand up straight.") serves to propagate a myth/misconception that was debunked decades ago in JAPMA, 74:109-119, 1984 ("Ruptures and Lacerations of the Tibialis Posterior Tendon"). Ligaments provide arch stability, while muscles provide *brief* support for propulsion/shock absorption.


 


Terrance John Mueller, DPM, St. Louis, MO

09/14/2018    

RESPONSES/COMMENTS (NEWS STORIES) - PART 2A



From: Joseph W. Cavuoto, DPM


 


Lowell, best wishes on your retirement. Thanks for your direction during my Northlake residency; it made the transition to podiatric practice easy. My family and I will always be grateful. We certainly enjoyed your family's hospitality during the year, especially at Thanksgiving for the out-of-town residents and families. Your twenty-four hour arthroplasty was a real gift that patients loved, including Jane my wife.    


 


Joseph W. Cavuoto, DPM (Retired), Dix Hills, NY

09/14/2018    

RESPONSES/COMMENTS (NEWS STORIES) - PART 2B



From: Ronnie Lepow, DPM


 



Teacher, mentor, consummate physician, colleague, and visionary. It is rare to find someone who fits this description but that is how I would describe my old friend Lowell Weil. When I was a student, Lowell was one of my most respected instructors, and his work had a profound effect on my professional career both as a practitioner and as a politician in our profession.


 


Over the years and especially during the 1990s as we both led our respective podiatric medical organizations, my interactions with Lowell were always cordial, professional, and productive. I look back at those years with fond memories. To our younger generation of doctors, I highly recommend that you review the history, academic work, and accomplishments of this great pillar of our podiatric profession.


 


Retirement? How can that be? If you must, my most hardy congrats, warm wishes, and best of luck in your future endeavors. You certainly spent your life paying it forward for all of us, and so Dr. Weil, you deserve the best retirement ever.


 


Ronnie Lepow, DPM, Houston, TX


09/12/2018    

RESPONSES/COMMENTS (NEWS STORIES)



From: Richard Polisner, DPM


 


When someone is recognized by a single name, that sort of says it all! Lowell, Congrats and best wishes on your well-earned retirement. You certainly were my podiatric mentor and have been my close friend for 47 years. I'd be remiss if I didn't remind you and 98 of my classmates from OCPM '70 of the weekend in 1969 when Marc Lenet and I begged you to come to Cleveland. Our class chipped in and hosted you for a long weekend of podiatric biomechanical and surgical teaching that until then had been somewhat lacking. 


 


You gave all of us the motivation and pride to complete our education and proudly become podiatrists and podiatric surgeons. On behalf of the entire OCPM Class of 1970 (and the Northlake residents of 1971), I thank you for the truly tireless, professional, and self-sacrificing time and knowledge that you have shared with all podiatrists. Come on down to N. Florida and play golf with me this winter.  


 


Richard Polisner, DPM, Jacksonville, FL

09/11/2018    

RESPONSES/COMMENTS (NEWS STORIES) - PART 1A



From: David S. Wolf, DPM


 


As a podiatry student at ICPM (Scholl) during the mid-1960s, our surgical training was rudimentary as well as very repressive. Even though it was clandestine and not condoned by “the administration”, Lowell and Steve Smith recent graduates themselves, invited us to their office and apartments to not only teach us surgical principles, but gave us the confidence and self-esteem needed to commence practice or begin internships.


 


Dr. Weil was a mentor to many generations of DPMs and a true pioneer and visionary in our profession. Enjoy your retirement Lowell, knowing the legacy that you have created and the difference you have made for countless podiatric physicians.


 


David S. Wolf, DPM, Retired

09/11/2018    

RESPONSES/COMMENTS (NEWS STORIES) - PART 1B



From: Barry Wertheimer, DPM


 



Lowell Weil retiring? Congratulations Lowell. I was a 1964 graduate and I vividly remember looking for seminars around the country to listen to Weil (and Smith) lecturing. He has always been an inspiration for me and the profession.


 


The deaths of Harry Harbison and Harry Goldsmith, along with others mentioned in PM News, has reminded me of the great, dedicated, progressive leaders this profession has had over the last 50 years.


 


Barry Wertheimer, DPM, Southern Pines, NC


09/10/2018    

RESPONSES/COMMENTS (NEWS STORIES) - PART 1A



From: Jon Purdy, DPM, Jeffrey Kass, DPM


 


I had the privilege of working with both Drs. Weil Jr. and Sr. (along with Anthony Borrelli) when I was a student. Before making my rotation picks, I was told, “You don’t want to do that one, those guys are tough!” And they were! I learned more in that month both technically and practice management wise, than I did in the majority of my other rotations.


 


They are true pioneers and spokesmen of our profession. To this day, I am able to contact them with immediate responses on tough cases which I appreciate and am amazed with. I would like to send a congratulations and thanks for all those years of positive representation of our profession, and for beating me up as a student. My best to both.


 


Jon Purdy, DPM, New Iberia, LA


 


Congrats to Lowell Weil Sr. on his upcoming retirement. The contributions you have made to this profession have been enormous. I’m sure I am not alone in considering you a podiatric icon, and I thank you. Wishing you all the success in your retirement that you enjoyed in your work life.


 


Jeffrey Kass, DPM, Forest Hills, NY

09/10/2018    

RESPONSES/COMMENTS (NEWS STORIES) - PART 1B



From: Terrance John Mueller, DPM, Pete Harvey, DPM


 



Congratulations to one of the brightest guiding lights of podiatric surgery, who has launched so many meaningful innovations over the decades. Thank you for choosing to make our profession great by your countless contributions, Dr. Weil, Sr.!


 


And, continued kudos to Dr. Weil, Jr., who not only "stood on the shoulders of giants," but is also building on that legacy, in kind. All the best to you both,


 


Terrance John Mueller, DPM, Florissant, MO


 


My congratulations to Dr. Weil. Job well done!


 


Pete Harvey, DPM, Wichita Falls, TX


09/04/2018    

RESPONSES/COMMENTS (NEWS STORIES)



From: Charles F. Ross, DPM


 


Regarding the comments directed toward Dr. Wenstrup's remarks about " being easier to be a podiatrist than a congressman," perhaps we should just sit back a minute and understand that perhaps he was being a little cynical or just tongue-in-cheek about BOTH occupations being difficult and troublesome without denigrating someone who is, most likely, doing what is best for ALL Americans, despite the many problems that we, in the public, have no idea about what transpires behind closed doors.


 


We should not forget the fact that he placed himself in harm’s way to save a colleague from probable death by his quick actions at the baseball field last year. If I lived in his state, he would have my vote every time. Keep up the great work and best wishes from a grateful podiatrist.


 


Charles F. Ross, DPM, Leeds, MA

09/03/2018    

RESPONSES/COMMENTS (NEWS STORIES) - PART 1B



From: Patrick Sesto, DPM


 


I am not being disrespectful to Dr. Joel Lang, but I have known Dr. Wenstrup for many years. I served as the podiatry consultant to the Army Surgeon General for seven years and retired five years ago from active duty after serving 30 years. I was on active duty during the conflicts in the desert and had to deploy over the course of the conflict nine surgical podiatrists. Dr. Wenstrup was the first surgical podiatrist that I deployed and was the first to be deployed as a surgical podiatrist. He was instrumental opening the doors for the profession and helped me establish a "go to war" mission as well as having Army Podiatry by regulation separate from the Orthopedic Service.  


 


Dr. Wenstrup received numerous awards for his selfless sacrifice for our country and he continues that as a Congressman from Ohio. Yes, his job as a Congressman is demanding and in his position frustrating when he has to come up against the swamp. He was instrumental in getting changes in the VA system for ALL podiatrists, not just from Ohio. He has always gone that extra mile for ALL as a podiatrist and as a Congressman. I'm very proud of him not only as a peer but as well-respected Congressman. One needs to look at one's record before stereo-typing.


 


Patrick Sesto, DPM (ret), Leland, NC

09/03/2018    

RESPONSES/COMMENTS (NEWS STORIES) - PART 1A



From: Pete Harvey, DPM 


 


I agree with Dr. Blank. Dr. Wenstrup is working for all of us. He has rapidly become a respected member of Congress. We should all stand for our own. Dr. Wenstrup is a voice FOR podiatry!


 


Pete Harvey, DPM, Wichita Falls TX

08/31/2018    

RESPONSES/COMMENTS (NEWS STORIES) - PART 1A



From: Bruce G Blank, DPM


 


I was disappointed to read Dr. Lang's comments about Dr. Wenstrup. Dr. Wenstrup has spent his adult life in service as a soldier, as a podiatric physician and surgeon, and now as a Congressman. I know him as a fine gentleman who is willing to work for the good of his fellow man and to even take personal risks to assist others and to do what is right. 


 


I haven't read the article where Dr. Wenstrup was quoted, about it being easier to be a doctor than a member of Congress, so I am unaware of the full context of his statement quoted and reported in PM News. However, there's a big difference when you compare private practice where you're the boss and can solely make decisions versus in any committee or in Congress where you have to arrive at a consensus.


 


Dr. Wenstrup has worked for his constituents and has also been extremely effective in supporting his profession in Congress. Dr. Lang implied that Dr. Wenstrup is doing the opposite of what is right due to party and other considerations and that Dr. Lang knows what is right. I'd like us to remember that disagreement doesn't make the other person unethical and not deserving of respect. 


 


Bruce G Blank, DPM, Martins Ferry, OH

08/30/2018    

RESPONSES/COMMENTS (NEWS STORIES) - PART 1



From: Joel Lang, DPM


 


That's because in school we are trained to put the patient first and do what is right for each one. We took an oath to do that and are committed to that oath. Unfortunately, politicians are not committed to the oath that they take and to do what is right for each citizen. This is particularly true for the past 500 days. In Congress, particularly this one, the difficulty is the conflict between searching your inner self and determining what is right and then doing the opposite because of political and party considerations. Fear makes everything difficult; fear of your peers, fear of your leaders, fear of not being re-elected, fear of losing power, etc. 


 


It's easy to do what is right once you determine what is right. You only need the will. The difficulty Dr. Wenstrup is experiencing is self-inflicted. 


 


Joel Lang, DPM (retired), Cheverly, MD

08/30/2018    

RESPONSES/COMMENTS (NEWS STORIES) - PART 2



From: Allen Jacobs, DPM


 


The suggestion that patients utilize a hair dryer for moisture control of the foot and “fungus infection prevention“ is a poor one. The literature is replete with case reports of burns secondary to hair dryers. Anyone with neuropathy or PAD would be at particular risk. Hair dryers have been recalled due to uncontrolled temperature regulation. There are no standards regarding the actual temperature at which such dryers operate. One minute to dry? One minute to burn!


 


I would admonish any patient, let alone a diabetic patient, if they followed Dr. Roth’s extraordinarily poor advice.


 


Allen Jacobs, DPM, St. Louis, MO

08/29/2018    

RESPONSES/COMMENTS (NEWS STORIES)



From: Ira Baum, DPM


 


Dr. Roth has made an excellent point that drying of the feet and between the toes helps prevent fungus infection. However, all podiatrists from the novice to the expert should understand the potential risks of using a heating mechanism on the feet of diabetics and patients with PVD.  It's not the purpose of this post to review the dangers, simply to remind all podiatrists to use caution when educating patients on drying their feet. BTW with regard to all patients at risk, document your recommendations. Again, thank you to Dr. Roth for the important message of drying your feet.


 


Ira Baum, DPM, Naples, FL

08/09/2018    

RESPONSES/COMMENTS (NEWS STORIES)



From: John M. Giurini, DPM


 


I would like to join my classmates and send along my deepest sympathies and prayers to the family of Dr. Tom Shock. Words are not enough to express how stunned I was to receive news of not only Tom's passing but the circumstances of his death. Tom was a classmate and a friend. The CCPM Class of '83 had bonded after their 1st-year and had become a very close and cohesive class. Tom was an important part of the "Motley Crew", with his good-natured personality and smile. He will be deeply missed by his classmates, patients, friends, and most importantly his family.


 


John M. Giurini, DPM, Boston, MA

08/08/2018    

RESPONSES/COMMENTS (NEWS STORIES)



 


I too am stunned by the news of the fatal shooting of our classmate, Tom Shock. CCPM Class of 1983, and our profession, have lost a kind-hearted and generous soul. Our deepest sympathies and prayers go out to Tom’s family.


 


Ross E. Taubman, DPM, Franklin, TN

08/07/2018    

RESPONSES/COMMENTS (NEWS STORIES)



From: Tim Shea, DPM


 


As expressed by Dr. Kevin Kirby, I am stunned by the manner and death of Tom Shock, DPM. As one of his instructors at CCPM, I always found Tom to be immensely professional and personable to all around him. He always had a smile for everyone. His attitude was extremely positive and inquisitive. Over the years, whenever we would meet, his demeanor was always the same. My thoughts and prayers go out to his family and friends.


 


Tim Shea, DPM, Concord, CA

08/06/2018    

RESPONSES/COMMENTS (NEWS STORIES)


RE: CA Podiatrist Fatally Shot


From: Kevin A. Kirby, DPM


 


One of my classmates from the CCPM Class of 1983, Dr. Tom Shock, was shot in front of his home in Lodi on Wednesday night by an unknown assailant. I knew Tom well and his sudden, unexpected death has hurt me terribly because Tom was just one of the nicest, friendliest guys you could ever know. He never said a negative word about anyone and always had a smile on his face. Tom was one of those guys who everyone liked since he had such a positive, uplifting attitude about everything.


 


Dr. Shock started his practice in Lodi in 1984, and served the community of Lodi with excellent podiatric medical care during that time. Tom had just retired two months ago, took a short vacation to Europe with his wife, and was ready to start enjoying his hard-earned retirement after...


 


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

07/30/2018    

RESPONSES/COMMENTS (NEWS STORIES) - PART 2



From: Steven Kravitz, DPM


 


Marc Benard, DPM has been the most dedicated leader of the ABPM. He has been its heart, soul, and inspiration taking it from a fledgling organization, facing difficult times, to a thriving and respected certifying board that has helped shape and mold our profession to its current status today. We wish Marc the best in moving on to his next phase of future accomplishments and whether that be professional, family, social and/or, I suspect, his interests and wonderful talent in music and the arts.


 


That said, there is no individual better suited to take the reins and assume the leadership and guidance as the executive director of ABPM than James Stavosky, DPM. He is a respected podiatric physician and surgeon, educator, speaker, and author in addition to assisting other organizations in leadership roles. Congratulations, Dr. Stavosky and to ABPM for making a superb selection. 


 


Steven Kravitz, DPM, Winston-Salem, NC

07/30/2018    

RESPONSES/COMMENTS (NEWS STORIES) - PART 1


RE: Botox Has Practical Uses in Treating Foot Conditions: PA Podiatrist


From: Bret Ribotsky, DPM


 


I applaud Dr. D’Angelantonio for getting positive press, and I hope the writer missed something when the article was written. We all know that Botox is NOT a filler/implant; it is a neurotoxin that interrupts nerve conduction. I have found great success using Botox for hyperhydrosis and for children who are toe walkers who can stand with the heel on the ground. I have always postulated for Botox’s possible use in Jones fractures to take the pull off of the peroneal longus muscle, but have never used it. 


 


When it comes to “orthopedic pad” (as its called in the article) we all know you need an implant, not a neurotoxin. Use PSTTA (pedal soft tissue temporary augmentation) as I reported in 2013.


 


Bret Ribotsky, DPM, Boca Raton, FL

07/27/2018    

RESPONSES/COMMENTS (NEWS STORIES)



From: Elliot Udell, DPM


 


When I was in podiatry school in the late '70s, Dr. Seymour Frank, who chaired the department of surgery, taught us that equinus deformities account for far more pedal pathology than most podiatrists realize. He taught us how to test for equinus deformities, but unfortunately there were no really good non-surgical treatments available at that time.  


 


Dr. DeHeer's brace is an answer to this problem and, outside of the operating room, is probably the only solution. In our practice, we have been using his equinus brace for over a year and we have been very impressed with the results. Not only does it address obvious cases of equinus, but we are seeing it address other problems secondary to equinus such as plantar fasciitis, which can be exacerbated by limitations in ankle dorsiflexion. My patients are very grateful to Dr. DeHeer for doing the research and developing a product that is giving them a great deal of relief. 


 


Elliot Udell, DPM, Hicksville, NY

07/25/2018    

RESPONSES/COMMENTS (NEWS STORIES) - PART 1C



From: Donald Blum, DPM, JD


 


It seems to me that CMS should create a category for ALL specialists. Why is a podiatry E/M different than that of a hand specialist, dermatologist, or even a foot and ankle orthopedist? We are expected to go through the medications, flu shot, eye doctor visit (diabetics), A1C, evaluate for falls, etc. What is the difference of going to the hand doctor with a broken finger or wrist as the chief complaint versus a patient going to the MD/DO foot and ankle specialist with a chief complaint of an ingrown nail or bunion deformity, or going to the DPM?


 


I believe the CMS change should affect the E/M for ALL specialists.


 


Donald Blum, DPM, JD, Dallas, TX

07/25/2018    

RESPONSES/COMMENTS (NEWS STORIES) - PART 1A



From: Edward Orman, DPM


 


Dr. Jacobs mentioned about having patients return at another date for an E/M service to work-up a new complaint during a "diabetic foot care" visit. We are not the only specialty concerned about adding modifiers to E/M services or other "surgical" services. I recently had a full body scan by my dermatologist. She noted a suspicious lesion on my hand that she wanted to biopsy. But she was fearful of an "audit" due to too many biopsies and modifiers during E/M services. She gave me a topical steroid and told me to return the following week if still present. The lesion didn't resolve, so I returned for the biopsy. 


 


By the way, it was a squamous cell carcinoma in-situ. Suppose this was a more serious lesion where delayed treatment could be life- or limb-threatening. CMS makes us ALL fearful to do the right thing for fear of audits by contractors who are paid a percentage of what they recoup. 


 


Edward Orman, DPM, Perry Hall, MD
ProNich Heeler