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01/11/2017    

RESPONSES/COMMENTS (NEWS STORIES)



From: Dennis Shavelson, DPM


 


When minimalist running, one reduces heel contact running, which for most of us, would be a good thing. Runners must be willing to break in their new stride, speed, and distances slowly to reduce fractures and other overuse injuries such as Achilles tendonitis. These rules apply when breaking any new activity or sport.  


 


The article states, “These days, more of Kirby’s patients are running with thicker-sole shoes than ever before. Every third runner he sees wears Hokas, a sneaker brand with the thickest underfoot cushions in the market today." I must interject that they may be dangerous for many runners. I published a white paper regarding Sketchers Rocker Shoes. I eventually wrote the 41 page brief involved in the successful lawsuit against Sketchers Rocker Shoes involving 300 injuries.


 


Rockers and flexible soled shoes designed to shock absorb and create cushioning using thick and flexible materials when married to the flexible foot types of many runners, will result in injuries to some of those feet, especially if runners transition too quickly. Rockers obviate the need for healthy internal biomechanics and predictably allow feet with high SERM-PERM Intervals to degenerate to the point that they need rockers all the time. Hokas are unproven short- or long-term as to safety and they are being poorly disclaimed. They are not the next Nike Waffle Trainer yet!


 


Dennis Shavelson, DPM, NY, NY

Other messages in this thread:


05/18/2017    

RESPONSES/COMMENTS (NEWS STORIES)



From: Jeffrey Kass, DPM 


 


Congratulations to my podiatric colleagues in Arizona on your recent scope advancement with regards to amputations. I was wondering if the new law was for all podiatrists? Only those board certified in surgery? Those who completed residencies? Did you have to complete a two year program? A three year program? What were the restrictions imposed if any?


 


Jeffrey Kass, DPM , Forest Hills, NY

05/17/2017    

RESPONSES/COMMENTS (NEWS STORIES)


RE: AZ Board of Podiatry Examiners Expands Scope of Practice to Include Amputation


From: Lee Rogers, DPM


 


Thanks to the efforts of AzPMA President Dr. Alan Discont, member Dr. Melissa Galli, and numerous others who lobbied and contributed to the PAC, the scope of practice in AZ is now in line with the actual practice of podiatry.


 


Lee C. Rogers, DPM, Los Angeles, CA

05/11/2017    

RESPONSES/COMMENTS (NEWS STORIES) - PART 1C



From: Jeff Kittay, DPM


 



I would politely remind Dr. Katzen that retired does not mean dead or out of touch. There was mention in his post of politicians being out of their minds to support legislation that would harm their constituents. I posit that precisely that is happening, politicians so drunk with their own power, so dedicated to erasing any trace of a president they despised, that they are indeed willing to pass legislation truly detrimental to the health of their constituents and not interested in the sequellae.  


 


Dr. Lang’s post was completely accurate in its assessment. The ACA is certainly in need of dramatic modification, or even replacement, but only with a single payer system/Medicare for all, with the total elimination of self-serving health insurance companies. Any tweaking around the edges that leaves these do-nothing money takers is doomed to failure, as the rest of the world realized decades ago.


 


Jeff Kittay, DPM (retired), San Rafael Norte, Costa Rica


05/11/2017    

RESPONSES/COMMENTS (NEWS STORIES) - PART 1B


RE: OH Podiatrist Comments on AHCA 


From: David Gurvis, DPM


 



To all who are commenting on the “Repeal and Replacement” of the ACA (ObamaCare) and the new (call it what is is) TrumpCare, AKA the American Health Care Bill :Both sides are lying. The Office of the Budget is probably the most accurate. It is disingenuous to dismiss it because it may agree or disagree with your pre-conceived notions,


 


The media is not fake news. Even Paul Ryan, by the way, agreed that many will lose medical coverage but he considers that a “good thing” as it shows they had a “choice” (NPR radio interview). We need to decide in this country if healthcare is a “right” or not. Your view is as valid as mine if it is well thought out and defended


 


And finally: When Republicans and Democrats (meaning you and I) stop hating each other’s views so much that all they can think of is their blind hatred of the other sides, then, and only then, will we get any good ideas coming out of Congress on healthcare.


 


David Gurvis, DPM, Avon, IN


05/11/2017    

RESPONSES/COMMENTS (NEWS STORIES) - PART 1A


RE: OH Podiatrist Comments on AHCA 


From: David P. Luongo, DPM


 


This is not a Democrat or Republican issue. It is an insurance company issue. They don't want change so they are making the "affordable plans" unaffordable for a reason. To lower costs, the first step was to insure EVERYONE as we did with auto insurance. That, by default, will lower costs for all. Unfortunately, the insurance companies want to profit from all angles since they continue to be unchecked.  


 


Until a non-profit insurance company is formed that only needs to break even, not pay CEO billions and satisfy stockholders, then we are in a bad nosedive. Unfortunately, the powerful insurance companies will not allow this and will cheat, steal, bribe, etc. to prevent anyone taking the golden goose. It's quite a simple problem. Money is the root of all evil and right now it has our country at each other's throats.


 


David P. Luongo, DPM, NY, NY

05/10/2017    

RESPONSES/COMMENTS (NEWS STORIES)



From: Burton J. Katzen, DPM


 


With all due respect to my esteemed and certainly well respected colleague Dr. Lang, I believe the (retired) after your name might have made you  slightly out of touch with the realities of the present day and the future practice of medicine if Obamacare was to remain the law of the land in its present form. 


 


First of all, even the most rational Democrats now realize it is unsustainable financially with the worst yet to come. Also, the amount of insurance companies and physicians leaving the program, along with the outrageous deductibles we are now seeing in our practices are resulting in we are now seeing in our practices are resulting in diminished quality of medical care. 


 


As far as Rep. Wenstrup "drinking the Kool Aid", I applaud him for his vote to improve healthcare for all Americans and will continue to support him in this endeavor in any way I can. I believe...


 


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

05/09/2017    

RESPONSES/COMMENTS (NEWS STORIES) - PART 2



From: Leonard A. Levy, DPM, MPH


 


On June 30, 2017, Lawrence Harkless, DPM, one of the giants in podiatric medical education, is retiring from the deanship of the podiatric medical school of Western University of the Health Sciences. It seems like just yesterday, when as dean of the then California College of Podiatric Medicine in 1970, I interviewed him for admission. I knew even then that he was destined to become a podiatric physician and a leader and mentor in the profession and indeed he did. It is hard to describe how it makes me feel when someone who was my former student achieved at the level he did.


 


I saw in a relatively few years after he acquired a DPM, his becoming an outstanding clinician and then at the University of Texas Health Science Center, Chair and Program Director of its podiatric surgical residency, becoming one of the role models for other residencies in the profession, producing some of the leaders in both the clinical and educational arena. This led him to be selected as founding dean of Western’s College of Podiatric Medicine. The profession is so fortunate to have someone like Dr. Harkless in its midst.


 


Leonard A. Levy, DPM, MPH, Ft. Lauderdale, FL

05/09/2017    

RESPONSES/COMMENTS (NEWS STORIES) - PART 1A



From: Robert Scott Steinberg, DPM


 


I find Dr. Wenstrup's comments to be disingenuous. As a member of the Tea Party, Dr. Wenstrup helped the GOP undercut the PPACA from the very beginning, and it is they who are causing the most problems with the PPACA, today. This has always been a deliberate attack on the PPACA to deny President Obama his signature piece of legislation. 


 


There is only one reason to separate out one group of people (pre-existing), from the whole, and it's not to be nicer to them.


 


Robert S. Steinberg, DPM, Schaumburg, IL

05/09/2017    

RESPONSES/COMMENTS (NEWS STORIES) - PART 1B



From: Joel Lang, DPM


 



It is shameful that our only podiatrist representative in Congress has totally “drunk the Kool Aid” and voted for our narcissist president’s tax cut for the rich, cleverly camouflaged as a healthcare bill. I don’t believe that the president or Rep. Wenstrup  actually read the bill – there was not enough time. The bill was passed without COB rating and will likely allow 24 million to lose health insurance. His comments in yesterday’s post indicating the availability of treatment of pre-existing conditions is false and misleading, and sadly, Rep. Wenstrup knows it.


 


Obamacare is not “crumbling” and is not “job killing” as the president asserts. It is more popular than ever and most Americans appreciate the life-saving provisions it provides. Yes, it needs some improvement, but everything that has never been done before needs some improvement after years of use. Flaws show up with time and use. This cynical blind lemur-like behavior on the part of the Republican Congress is totally contrary to the benefit of the working middle class America.


 


Joel Lang, DPM (retired), Cheverly, MD


05/08/2017    

RESPONSES/COMMENTS (NEWS STORIES)



From: Chris Seuferling, DPM


 


I wish Dr. Harkless a happy and well-deserved retirement. When I think of Dr. Harkless, the word "passion" comes to mind. Anyone who has been in his presence or heard him speak knows what I am talking about. Unknowingly, he was an instrumental part in motivating me to continue with podiatry school when I was a 2nd year student at OCPM back in 2000. I was in the middle of an internal struggle whether to continue with podiatry school or quit. He came to our school to speak on diabetic foot care for an evening lecture. His passion for podiatry and how we can impact our patients' lives struck an emotional chord with me. After that evening, my doubt was gone and my motivation fueled. I have never looked back.


 


A couple of years later, I spent a month externship with him at his University of Texas Health program in San Antonio, Texas.  A month of Hell, but the most valuable month of training I ever had. This experience laid the foundation and gave me my "toolbox" for evaluating and treating diabetic foot ulcers. Thank you, Dr. Harkless and the best to you in retirement.


 


Chris Seuferling, DPM, Portland, OR

05/06/2017    

RESPONSES/COMMENTS (NEWS STORIES) - PART 1A



From: David G. Armstrong, DPM


 


I think that ultimately people are judged not by the size of their bank account or by their lifetime case volume. They're not judged by the number of papers they've written or the number of lectures they've given. Rather, they're judged by their progeny-- both actual and professional. In the history of our specialty, there is no one who has made a greater impact on more young men and women one-on-one than this man. I know he's really not retiring, but moving on to yet another chapter. I, for one, can't wait to read what's next. Bravo, Maestro.


 


David G. Armstrong, DPM, Tucson, AZ

05/06/2017    

RESPONSES/COMMENTS (NEWS STORIES) - PART 1B



From: Khurram H. Khan, DPM


 


I can honestly say no one has had a more everlasting effect on my career as a podiatric physician or as an educator than Dr. Lawrence Harkless. As his former chief resident (during the days of pyramid residency), I was pushed every day by the entire faculty at UTHSC to be excellent in everything I do. Dr. Harkless and his team never relented on their teaching us to be the best. Every Tuesday/Wednesday/Saturday conference at 6 am was an opportunity to be better. We were taught to think critically and question every decision and provide proof for our answer via quoting articles and reading the most up-to-date evidence-based medicine. 


 


To this day, I still carry these lessons with me as a clinician and as an educator myself. Despite the pure exhaustion from working in that University environment, despite the ups and downs of...


 


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

05/01/2017    

RESPONSES/COMMENTS (NEWS STORIES)


RE: FL Podiatrist Discusses Ankle Replacements and Fusions


From: Randall Brower, DPM


 


Dr. Black is quoted as saying, "Patients typically need ankle fusions every five years." This quote is not only completely confusing, but completely untrue. I've never heard such a thing. Is he saying that when I fuse an ankle joint, I will typically need to go back and "refuse" the joint every 5 years?


 


I hope this was an editorial mistake and not what Dr. Black actually stated. If he did in fact state this, it is obvious that he favors ankle replacement by using 10 years as a contrast to some nebulous 5 years for a fusion.  I hope Dr. Black can clarify.


 


Randall Brower, DPM, Avondale, AZ

04/13/2017    

RESPONSES/COMMENTS (NEWS STORIES)



From: Chet Evans, DPM


 


I have read the comments concerning this posting regarding my resignation, and am concerned at the simplistic view some have taken regarding this issue. State boards are legislatively evolved bodies, and correction of the exposure to potential anti-trust liability requires legislative mandated changes to statues or laws. Nor is it resolved with the simple purchase of D&O insurance; it does not protect governmental entities. An individual can buy his/her own expensive anti-trust liability policy, but why should you have to do that as a volunteer representing the best interests of your state?


 


Recently, the Federation of Podiatric Medical Boards surveyed the various states on their response to this Supreme Court ruling from 2015, and you would be surprised at how few are doing anything legislatively. There is some traction here in Florida in Tallahassee, but it looks as if it is not going to make it through this legislative session, and if that is the case, the three professional members who remain on our board continue to be exposed. And keep in mind, this affects every professional board in each state. There are professional boards/board members that are being sued as we speak, having to pay for their defense and any damages, and it is certainly not a "simple" issue to them. 


 


Chet Evans, DPM, Winter Garden FL

04/10/2017    

RESPONSES/COMMENTS (NEWS STORIES) - PART 1B



From: H. David Gottlieb, DPM


 


I fail to see where this sudden sense of urgency comes from. First, the ruling only applies to members of state licensing Boards. How many podiatrists is this? Second, the referenced ruling is from February, 2015. State licensing Boards are aware of this decision and should be taking appropriate actions to comply with it. As I understand it, as long as the state board and the state professional association are distinct in function and structure, there is no problem. Prior to resigning, board members should check with their board's state attorney for guidance.


 


This ruling is only of comfort if one believes that state licensing boards exist as an anticompetitive agent as opposed to their true function which is protection of the PUBLIC good. Note the emphasis on public, not professional good. State professional associations are charged with promoting the profession and its members. State professional boards are charged with protection of the public health.


 


Disclosure: I am on a state licensing board.


 


H. David Gottlieb, DPM, Baltimore, MD

04/10/2017    

RESPONSES/COMMENTS (NEWS STORIES) - PART 1A



From: Steven Kravitz, DPM


 



Directors and officers liability insurance (D and O insurance) is easily available and covers the "Board" in question and its individual members for performing their normal and required duties. Fraud and illegal practices are usually spelled out and, of course, excluded from coverage. It is an unfortunate reality that such coverage is required in today's business environment. There should be a number of agencies providing such coverage in your geographic area and for the type of organization you are working with.


 


There can be significant differences in costs for similar coverage packages. The Executive Director or a board member should investigate what's available before making a hasty decision as to which agency and company you choose to work with.


 


Steven Kravitz, DPM, Winston-Salem, NC


04/07/2017    

RESPONSES/COMMENTS (NEWS STORIES)



From: Joseph S. Borreggine, DPM


 


I recommend that PM News readers pay attention to this recent U.S. Supreme Court decision in 2015 which makes it easier to sue State Licening Boards regarding anti-trust. If they are on a licensing board, then they should be fully abreast of the legal liabilities that they may face as a board member and heed Dr. Evans' advice and possibly consider resignation from their board if they feel uncomfortable with a possible exposure of anti-trust.


 


I am not an attorney, so I would consult with one before moving forward in a rash manner. Obtain all the facts before making a decision to resign. I understand that there is Board of Directors Insurance, and usually it can be a part of a State Affiliate Association if you are a board member of that association. As to whether you have that same coverage as a member of the State Licensing Board is another story. Click here to read an anti-trust blog on this topic,


 


Joseph S. Borreggine, DPM, Charleston, IL

04/04/2017    

RESPONSES/COMMENTS (NEWS STORIES) - PART 1B



From: Paul Eisenberg, DPM


 



Congratulations to Dr. Beach Davis on her award. 


 


I would like to see the study that supports her contention that podiatry was dominated by Jewish men. This remark was inappropriate and reeks of anti-Semitism. This was inflammatory. I await the study reference to which Dr. Beach Davis alludes. If there is no study, an apology is in order from the doctor. 


 


Paul Eisenberg, DPM, Mentor, OH


04/04/2017    

RESPONSES/COMMENTS (NEWS STORIES)



From: Erika Schwartz, DPM


 


Congratulations to Dr. Denise Beach Davis on the Women in Business Trailblazer Award she has received. I agree with her that podiatry has been "male dominated" for many years and can certainly understand her feeling of having to "prove herself" as a woman in this profession. What I do not understand is her calling our profession "Jewish male dominant". I would be surprised if there were any data to substantiate such a claim.  


 


It reminds me of when I was an extern looking at residency programs and was cautioned by people that the one I desired only "took Jewish men from PCPM". When I began at that program the next year, I found myself to be the only Jewish resident, and the only resident who had attended PCPM/Temple. But there had been two Jewish men who had graduated from the program within the previous five years. It appeared that some found this to be "dominant", but I would caution that it actually made them anti-Semitic.


 


Erika Schwartz, DPM, Washington, DC

03/23/2017    

RESPONSES/COMMENTS (NEWS STORIES) - PART 1



From Ron Werter, DPM, Paul Kanter, DPM


 


I'll go one or two steps further. Not only should they be excluded from health coverage, but they should also be excluded from receiving any type of disability payments. That also goes for their spouses or family caregivers who have to give up their own jobs to care for the traumatic brain injury patient. No one wants to take away their choice, but let it be their sole responsibility, not their family's or mine.


 


Ron Werter, DPM, NY, NY


 



During my years at NYCPM, I always wore a helmet driving my Honda Twinstar to school and would have done so even if it was not a law. However, I disagree about not providing helmetless bikers necessary healthcare just as I would not deny a type 2 diabetic patient or a clinically obese patient with heart disease proper healthcare because they chose a not so healthy lifestyle.


 


Paul Kanter, DPM, Palmerton, PA


03/23/2017    

RESPONSES/COMMENTS (NEWS STORIES) - PART 2



From:  Robert Hilkemann, DPM


 



Thank you for including the story about the motorcycle helmet bill. I did lead the filibuster to make it mandatory for riders of motorcycles in Nebraska to wear an approved helmet. We kept the helmets in place by ONE vote. One senator who supported repeal was not present at the time of the vote and asked for a reconsideration of the vote. The speaker did not let that happen - effectively keeping the helmets in place for at least one more year.


 


Robert Hilkemann, DPM, Omaha, NE


03/21/2017    

RESPONSES/COMMENTS (NEWS STORIES)



From: Justin Sussner, DPM


 


It is horrible indeed that a repeal of the helmet law is considered. Maybe if those who chose to not wear a helmet also gave up their right to healthcare related to their un-helmeted injuries. Nobody wants to be accountable for their own actions anymore.


 


Justin Sussner, DPM, Monroe, NY

03/20/2017    

RESPONSES/COMMENTS (NEWS STORIES)



From: George Jacobson, DPM


 


It's the dumbest repeal in the world! Florida repealed it several years ago. Not smart. We are dumb. My daughter witnessed a motorcycle accident this past week on I-95. It wasn't a pretty sight. She can't get the images of the motorcycle driver without a helmet out of her mind.


 


George Jacobson, DPM, Hollywood, FL 

03/17/2017    

RESPONSES/COMMENTS (NEWS STORIES)



From: Charles D. Clayton, DPM


 


I agree with Senator Hilkemann. I've had personal experience with the benefits of wearing a motorcycle helmet. In October 2015, I had a motorcycle accident.  Even though I was wearing a helmet, I suffered a traumatic brain injury. Though I don't remember the accident or the next week and a half, I suffered no significant permanent damage. I returned to my normal activities including finishing my sport pilot flying lessons and getting my license. Had I not been wearing a helmet, there is no question that I would not be writing this.


 


Charles D. Clayton, DPM, Mastic, NY

03/13/2017    

RESPONSES/COMMENTS (NEWS STORIES)



From: Joel Lang, DPM 


 


I have only admiration for and congratulations to Dr. Kor, for not only surviving and persevering, but overcoming and thriving. It only validates my philosophy to be kind to “everyone” you meet, because you have no idea what road they have travelled, what challenges they have overcome, or what burdens they still carry. Please share this message.


 


Joel Lang, DPM (retired) Cheverly, MD
Sigvaris