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PM News

The Voice of Podiatrists

Serving Over 23,561 Subscribers Daily


December 03, 2020 #6,824 Publisher-Barry Block, DPM, JD

A partner of Podiatry Management https://podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2020- No part of PM News can be reproduced without the
written permission of Barry Block

PM NEWS QUICK POLL
How satisfied are you with your career choice?
 
boardwizardsnov2320B

PODIATRISTS IN THE NEWS
TN Podiatrist Discusses Charcot Foot
 
Many people deal with foot and ankle concerns by simply ignoring them, hoping the problem goes away. However, certain symptoms could be a sign of a serious condition, warn experts. “A foot and ankle surgeon has the right education and training to provide preventive care and early intervention, which remain essential, even in the age of COVID-19 when you may be avoiding in-person visits,” says Jeffrey D. Loveland, DPM, FACFAS, foot and ankle surgeon and Fellow Member of the American College of Foot and Ankle Surgeons (ACFAS).
 
Dr. Jeffrey Loveland
 
Charcot foot, a severe diabetes complication, is a sudden softening of the foot’s bones caused by neuropathy. It can trigger an avalanche of problems, including joint loss, fractures, collapse of the arch, massive deformity, ulcers, amputation, and even death. Charcot foot cannot be reversed, but its destructive effects can be stopped. Symptoms appear suddenly and can include warm and red skin, swelling, and pain.
 
Source: Spencer Evening World [12/1/20] 
2020nov220

PODIATRISTS IN THE COMMUNITY - PART 1
FL Podiatrist Named Best Podiatrist in Central Florida
 
Tatiana A. Wellens, DPM, PhD has been voted the 2020 Best Podiatrist in Central Florida in The Lakeland Ledger’s Best of Central Florida Contest. This award was based on evidence of superior training, experience, continuing education, and commitment to excellence for her patients.
 
Dr. Tatiana Wellens
 
Dr. Wellens is president of Central Florida Foot and Ankle Center, LLC and has been trained in top medical institutions worldwide including South Miami Hospital, Baptist Health Systems Hospital, Ilizarov Institute for External Fixation in Russia, and Johns Hopkins Medical School in Baltimore, MD. Also recognized as runners-up were Drs. James Butler and Matthew Werd.
 
Source: The Lakeland Ledger
gordonmar1119A

PODIATRISTS IN THE COMMUNITY - PART 2
FL Podiatrist Joins Certified Foot & Ankle Specialists
 
Certified Foot & Ankle Specialists has added Rebecca DeSimone, DPM to its staff. While an undergraduate, Dr. DeSimone shadowed Mallory Eisenman, DPM, and fell in love with helping patients feel better on their feet. After graduating from Stockton College magna cum laude, she went on to Temple University School of Podiatric Medicine in Philadelphia, PA. 
 
Dr. Rebecca DeSimone
 
She then completed four years of intensive surgical training at Temple University Hospital, a level one trauma center. In her fourth year of residency, she served as chief resident while advancing her skills in traumatic and reconstructive foot and ankle surgery. Dr. DeSimone sees patients in Fort Lauderdale.
Kevinnov3020D

INTERNATIONAL PODIATRISTS IN THE NEWS
  Bahamas Podiatrist Discusses Effects of Long-Term Wearing of High Heels
 
According to podiatrist Monique Mitchell, “No other shoe has been recognized as a symbol of leisure, sexuality, style, and sophistication as the high-heeled shoe. Wearing high heels changes the shape and functioning of the muscles and tendons of the feet and can cause significant foot pain and other problems ranging from bunions, corns, and calluses to hammertoes, ingrown toenails, or excruciating pain in the ball of the foot due to loss of fat pad on the bottom of the foot. They also increase the risk of stress fractures and arthritis in the feet.”
 
Dr. Monique Mitchell
 
"High heel wearers were found to walk less efficiently with or without heels, requiring more energy to walk the same distance as people in flats or bare feet because of muscle tiredness. The muscle strain that occurs when walking in high heels may increase the risk of injuries, not only in high heels but also when heel wearers switch to wear sneakers or other flat shoes. After wearing high heels for years, the foot and leg eventually adapt to the position in high heels, making it more difficult to wear flats and to go barefoot," says Mitchell.
 
Source: Nassau Guardian [12/1/20]
mdbuyingnov3020A

mdbuyingnov3020B

RELEVANT RESEARCH
Are Financial Pharmaceutical Payments Associated With Physician Prescribing?
 
Financial payments from the drug industry to U.S. physicians are common. Payments may influence physicians' clinical decision-making and drug prescribing. Thirty-six studies comprising 101 analyses were included. Most studies (n = 30) identified a positive association between payments and prescribing in all analyses; the remainder (n = 6) had a mix of positive and null findings. No study had only null findings. Of 101 individual analyses, 89 identified a positive association. Payments were associated with increased prescribing of the paying company's drug, increased prescribing costs, and increased prescribing of branded drugs.
 
Conclusion: The association between industry payments and physician prescribing was consistent across all studies that have evaluated this association. Findings regarding a temporal association and dose-response suggest a causal relationship.
 
Source: Annals of Internal Medicine via Dr. Allen Jacobs
Earthwalkoct2819

QUERIES (CLINICAL)

Query: Gout or Not gout?

I had a new patient come in who had gastric sleeve surgery 2 months ago. Since then, her right first MTPJ has been red hot and swollen. She has a history of a diagnosis of gout ten years ago. Both her parents have gout and are managed with colchicine and allopurinol. She was placed on Colcrys and allopurinol with no relief for the last two months.

She stated that she sees a rheumatologist for RA who feels this is not gout. She is getting no relief from the colchicine once daily and allopurinol. She brought in x-rays which were normal at the first MTPJ and for the entire foot. I had her increase the colchicine to TID for the next three days and will see her after that. If not improved, I will give her a posteior tibial nerve block to create a vascular flush of the area and a local steroid injection. My differential Dx at this time is 1) gout 2) pseudogout  or 3) RA. Comments?

Redig-thotics

RESPONSES/COMMENTS (CLINICAL)
From: Kenneth Meisler, DPM
 
I have treated many immunocompromised patients with veruccae. Some of the patients get to me after having seen many doctors over a course of years. I treat all veruccae the same way, with a pulsed dye laser. I inform patients that it may take many more treatments than for a patient who is not immunocompromised. Those who do not respond to the pulsed dye laser are treated with Swift Microwave. Most patients respond eventually. Some lesions totally resolve and some get significantly better. 
 
Kenneth Meisler, DPM, NY, NY
tetranov3020B

RESPONSES/COMMENTS (NON-CLINICAL)
From: Brian Kiel, DPM
 
When I prescribe a medication, especially any version of colchicine or terbinafine, I give the patient a GoodRx card and explain how to download the app. I tell them to ask the cost when they go to get the medicine and compare it to GoodRx. As an example, I take Uloric. My part D was going to cost $550 for a 90-day supply. GoodRx was $153 for the same drug. I do this for all prescriptions and my patients appreciate it. 
 
Brian Kiel, DPM, Memphis, TN
Astepbovejun1719

RESPONSES/COMMENTS (EHR)
From: Frank Graham, DPM
 
Want a cheap EHR system? Get a Google Doc account. Not the free one! The one you pay for. It’s HIPAA-compliant. In the paid version, you can create a template. In this template, you would create a set-up for capturing your patient demographics. Create a folder for each patient. In the folder, open up a new Word document with the template. Type or dictate your information. Yes, Google Docs can handle medical dictation with very few mistakes. Give the document the name of the patient. Save, If you want, in the patient's folder. You can also scan licenses and insurance cards. You can also create another folder and scan in all your scanned EOBs of everyone and every insurance.  
 
Overnight, Google indexes every single word and every single picture in every single document. The next time the patient comes in, just type his/her name in the search bar and the folder and documents will pop up. Open the note document. Copy the old note and paste it to a new page. Change what is necessary to document a new visit (type or dictate). Want an EOB? Just search for (Name, DOS, or maybe add the Insurance company name). In less than a second, it will find the document matches. By the way, you can also add to the note and you can view the stored information and edit it anywhere in the world from any laptop, computer, or phone. Just add the Google Doc app.
 
Frank Graham, DPM, NY, NY
docshopnov1620

RESPONSES/COMMENTS (NEWS STORIES)
From: Dennis Shavelson, DPM
 
I agree with Dr. Brucato that Dr. Splichal’s blanket advice that running shoes must pass “the twist test” lacks the disclaimer that most runners inherit underpinning biomechanical pathology (the flexible FFTs) and therefore need structural stability, support, and balance that a “twistable shoe” cannot supply. Muscle engines do not perform well when the architecture of the feet are collapsed, dislocated, or degenerated. This is because they cannot perform in closed chain with power or in phase. This defines the twist test as a poor test to apply deterministically until you diagnose the biomechanics of the subject.   
 
Perkins & Hanney in their 2015 systematic review of barefoot running “The Risks and Benefits of Running Barefoot or in Minimalist Shoes” concluded that “Changing the foot-ground interface (e.g., shoes, no shoes, heel heights, lateral flares, rocker soles) changes the kinematics and kinetics of runners in different ways and might also change the direction of the GRF vector and, therefore, the moment arm length of the GRF. Whether this change is beneficial or increases risks depends upon the subject.”
 
Dennis Shavelson, DPM, NY, NY
richiesep720

RESPONSES/COMMENTS (OBITUARIES) PART 1
RE: The Passing of Richard A. Weinstein, DPM
 
Dr. Richard A. Weinstein passed away in Albuquerque, NM on Nov 25th.
 
Dr. Richard Weinstein
 
He was a wonderful person and colleague. He was in practice for more than 35 years.
 
Gloria Gerstner, DPM 
empiresep1619

RESPONSES/COMMENTS (OBITUARIES) - PART 2
RE: The Passing of Ronald Bruce Dull, DPM
 
Ronald Bruce Dull, age 91, passed away peacefully Saturday, Nov. 21, 2020, at his home in Westerville, surrounded by family and friends. He earned a podiatric medical degree in podiatry prior to serving in the Army (1952-1954) during the Korean War.
 
Dr. Ronald Dull
 
He was a podiatrist, loving father, caring friend, and lifelong activist for social and racial justice, as a member of the NAACP, AFSCME, and the Youngstown Peace Council, among others.
 
Source: Youngstown Vindicator [11/29/20]
PCCoct1920

YOU CAN'T MAKE THESE THINGS UP

RE: Outrageous Shoe of the Day

Little Shoe of Horrors?

Source: Zoddix

gilljun1520B

MEETING NOTICES

bakonov1620

IFAFnov1620

presentnov3020D

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You can Earn up to 5Continuing Education Contact Hours (CECH) Online

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Choose any or ALL from 25+ CECH Category-1 articles posted

NY podiatrists whose licenses expire from 3/2/20-5/1/21 may take all credits online


CLASSIFIED ADS - ASSOCIATE POSITIONS AND FELLOWSHIPS
SEEKING CLINICAL INSTRUCTOR - NYCPM, DEPARTMENT OF MEDICINE 
 
Looking for a motivated full-time podiatrist with excellent clinical and academic skills. Responsibilities: Providing high quality patient care, teaching students and residents in the diagnoses and treatments of foot and ankle diseases at the NY College of Podiatric Medicine as well as NYC Health and Hospital facilities. Qualifications: DPM Degree from an accredited College of Podiatric Medicine, NY State License. Board Certified/Board Eligible. Please send your CV to Mr. Joel Sturm, COO, New York College of Podiatric Medicine, JSturm@nycpm.edu
 
POSITION AVAILABLE - SYRACUSE, NY 
 
Great opportunity to join a growing podiatric medicine and surgical team in central New York.  Fast paced, fun environment with a variety of foot pathologies. You will meet your surgical case requirements for boards within the first year. For more information please email: docryanlee@gmail.com
 
ASSOCIATE POSITION – HOUSTON, TX 
 
Busy, growing, state of the art surgical, sports medicine office based group practice in Houston, TX currently looking for a full-time associate to start 8/1/21. Must be BQ/BE Competitive six-figure salary, generous bonus structure, health insurance (including vision & dental), paid vacation time off, paid malpractice insurance and CME time off. Opportunity to invest in surgery center and PT clinic. If interested, please submit your CV to mvargas@thefootpros.com
 
ASSOCIATE POSITION - OHIO
 
Established practice seeks full-time ABFAS or ABPM cert or qual. Podiatrist for our growing practice. Ideal candidate possesses strong clinical and surgical skills. Must be willing to merge into an already established protocol-based office. State of the art facilities and equipment. Hospital privileges, No nursing homes, base $120,000, and generous bonuses. Benefits include medical insurance, disability insurance, paid vacation and holidays, paid CME, and malpractice. Please send C/V to DPMOhio@gmail.com
 
ASSOCIATE POSITION - ST. LOUIS, MO 
 
Rapidly growing podiatry practice is seeking a personable, outgoing and self-motivated individual, who is competent in office-based practices, surgery, and enjoys all aspects of podiatry. Position available immediately and/or July 2021. $120k base salary with bonus and incentives. Please send CV, letter of interest and references to podiatrystlouis@gmail.com
 
ASSOCIATE POSITION – PORTLAND SUBURB, OR
 
Busy, growing, group practice in Portland, OR currently looking for a full-time Associate/Graduate. Must be ABPM BQ/BE Competitive six-figure salary, paid malpractice insurance and CME, bonus, health insurance, paid vacation time off. Please submit your CV with references to: drwring@gmail.com
 
ASSOCIATE POSITION - ST PETERSBURG/CLEARWATER, FL
 
Rapidly growing two location practice looking for a full-time associate. General podiatry, wound care, sports medicine, DME, surgery, inpatient. Competitive salary, malpractice, paid time off, CME included. Applicant must be highly personable, caring, and self-motivated. New graduate or experienced provider. Submit letter of interest and CV to precisionfootandankleFL@gmail.com.
 
ASSOCIATE POSITION - SOUTHERN CALIFORNIA 
 
Very busy, well-established, group practice is seeking a full time associate. Candidate must be very hard working and ethical with good surgical training and having completed a 24-36 month residency. Applicant must be at least board qualified. Our diverse practice offers a high surgical volume, wound care, biomechanics and mix of general podiatry. Competitive salary and benefits. E-mail CV to podiatrists@icloud.com.
 
FULL-TIME or PART-TIME PODIATRIST - DALLAS/FORT WORTH AREA 
 
PSR 24-36 Trained with a current Texas podiatry license. Multi-dimensional, Multi-office group treating a wide range of conditions. A great opportunity for driven personable individual. Please e-mail CV, References Letters, Short Video Introduction Email: cnunez1940@gmail.com
 
ASSOCIATE POSITION - PODIATRY GROUP IN SAN BERNARDINO/ ORANGE /LOS ANGELES COUNTIES 
 
Position starting august 2021. Must be well trained in limb preservation, trauma and reconstructive foot and ankle surgery. Send CV to podiatricri@yahoo.com.
 
ASSOCIATE POSITION - SOUTHWEST, FL 
 
Immediate position for busy practice in Sunny Southwest, FL. ABFAS RRA BC/BQ. EMR, E x-rays, US, DME. Base salary + bonus w, PTO, 401K, fees, health benefits. Also 1 ACFAS credentialed fellowship avail, must be BQ ACFAS by start of program 8/2021: DrLam@NaplesPodiatrist.com
 
PM NEWS CLASSIFIED  ADS REACH OVER 20,000 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 20,000 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 - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE
PRACTICE FOR SALE- TARZANA, CALIFORNIA 
 
Thriving practice for sale in optimum location next to pharmacy and across from major hospital in Tarzana California Established 1982 Ground floor free parking Patients are PPO Medicare and cash Serious inquires only text 818 451-8441.
 
PRACTICE FOR SALE  - LOS ANGELES 
 
Unique long-standing now small part-time practice in a very nice area; devoted core of established patients; essentially giving this practice away for very little just to ensure continuity for my patients; no other podiatrist in the area; outstanding potential. Email: preyes111@yahoo.com
 
PRACTICE FOR SALE - NW NEW JERSEY      

35 year old practice, all aspects of podiatry.  Loyal patient following, large physician referral base. EHR, staff in place.  Low overhead. Great potential for surgically oriented podiatrist. Will stay for transition if desired.  201-317-0758.

PRACTICES FOR SALE - HUDSON VALLEY, NY
 
Long established in two Hudson Valley, NY counties. 4 employed podiatrists, experienced staff. Full hospital admitting, surgical privileges. Participation in most commercial, advantage, Medicare & Medicaid. Custom built Office #1 = 1900 sq ft 3-4 tx rms FOR SALE in deal. Office#2 = 1400 sq ft rental 3 tx rms. Contact: podiatrypracticeny@yahoo.com
 
PM NEWS CLASSIFIED  ADS REACH OVER 20,000 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 20,000 subscribers. For details, click here or write to: bblock@prodigy.net or call (718) 897-9700 for details.
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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  • 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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