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The Voice of Podiatrists
Serving Over 15,669 Podiatrists Daily
January 06, 2014 #4,960  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2014- No part of PM News can be reproduced without the
written permission of Barry Block
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| EDITOR'S NOTE | |
Advance Notice - PM News will not be publishing from January 13-17th.
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| PM NEWS QUICK POLL | |
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| Results of Last Week's Poll |
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| APMA STATE COMPONENT NEWS | |
IL Podiatrist is New President of IPMA
Loyola University Medical Center podiatrist Francis J. Rottier, DPM is the new president of the Burr Ridge-based Illinois Podiatric Medical Association. As president, one of Rottier’s top goals is to restore full podiatric services to Medicaid patients in Illinois. The state recently limited such services to children and adults with diabetes. Currently excluded are non-diabetic adults who need treatments for such common conditions as plantar fasciitis (heel pain), bunions, circulatory problems, and ingrown toenail infections. “We are fighting for the citizens of Illinois to have full access to foot and ankle care,” Rottier said.
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Dr. Francis J. Rottier |
Rottier earned a Doctor of Podiatric Medicine degree from the William M. Scholl College of Podiatric Medicine. He did post-doctoral training at Illinois Masonic Medical Center, Hines VA Medical Center, and Loyola University Medical Center. He is an associate professor
in the Department of Orthopaedic Surgery and Rehabilitation at Loyola and an attending podiatric surgeon at Hines.
Source: Trib-local Clarendon Hills [1/3/14]
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| PODIATRISTS IN THE COMMUNITY | |
IN Podiatrist Retires After 43 Years
Dr. J.K. Winckelbach has announced his retirement. He graduated from the Illinois College of Podiatric Medicine in 1970 and was an active member of the medical staff of St. Francis Hospital and Community Hospital South. He served as chief of the podiatric section of the surgery department at both hospitals.
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Dr. J.K. Winckelbach |
Winckelbach was also active in the Indiana Podiatric Medicine Association and has served as president. He has been honored repeatedly by his peers with awards including Podiatrist of the Year in 1982 and 2005. His daughter, Wendy S. Winckelbach, DPM, will continue to work at the Southside Foot Clinic along with Michael C. Carroll, DPM.
Source: Daily Journal [1/3/14]
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| OUTSIDE INTERESTS | |
FL Podiatrist to be Featured On Cooking Channel
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Cress Restaurant owners Hari and Dr. Jenneffer Pulapaka pose with celebrity chef Emeril Lagasse |
The season two premiere of Emeril’s Florida will air on Sunday, January 5, 2014, at 2:30 pm EST on the Cooking Channel. On Sunday’s episode, Coming to America, Emeril Lagasse first meets up with Hari and Dr. Jenneffer Pulapaka, owners of the Cress Restaurant in DeLand, FL. Hari, who was born and raised in Mumbai, India, is a tenured math professor; Jenneffer is a world traveler and practicing podiatric surgeon.
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| PRACTICE MANAGEMENT TIP OF THE DAY | |
Learn from Job Applicants
Take one last chance to gain insight from job candidates. If desirable job candidates reject an offer, don’t give up. Instead, ask them something like “What could we offer you that would make you want to work for us?”
Even if you can’t meet their needs, you’ll gain valuable information that will help you understand how to make your practice more attractive to top prospects.
Source: Communication Briefings [December 2013]
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| RESPONSES/COMMENTS (CLINICAL) - PART 1A | |
From: Louis Polizzi, DPM
Consider an RBC-labeled scan.
I am wondering what an at-home hyperbaric chamber is. I have seen some companies promoting a chamber where just the extremity goes in, but I can't see how this would work. As I understand it, simply put, hyperbaric oxygen treatment requires a patient to be placed in a chamber that increases the normal atmospheric pressure of O2 that the patient breathes (the partial pressure of O2). The increase in the partial pressure of oxygen at the alveoli-capillary level will get more oxygen into the blood and therefore to the tissues.
Unless the foot has lungs, how would placing it in a chamber increase oxygen delivery to the area? Please correct me if I am wrong. As for this particular case, perhaps osteomyelitis should be a concern as well as AVN.
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| RESPONSES/COMMENTS (CLINICAL) - PART 1B | |
RE: Hyperbaric Oxygen for Possible AVN of 1st Met Head?
From: Larry H Woodcox, DPM, DC, Todd Lamster, DPM
In reviewing the x-rays, it does not appear to be avascular necrosis. Avascular necrosis appears sclerotic, not osteoporotic as seen on your x-ray. One needs to have blood flow to become osteoporotic. It appears the patient has hyperemic osteoporosis from fracture-healing, with joint narrowing which is common following any osteotomy-type bunionectomy .
Mobilize the joint and increase to full weight-bearing ASAP, if the osteotomy has healed. Osteoporosis and joint narrowing may not resolve. Don't treat the x-ray.
First, I am very sorry to see your patient with this complication. I have to disagree with the radiographic assessment of "no positional changes." From the four-week x-ray, the capital fragment has shifted medially and the hallux has deviated laterally. There is loss of correction, and the head has slightly impacted on the shaft. Also, the 1st IM angle has increased, and there may even be some demineralization at the base of the proximal phalanx. Last, there appears to be far greater edema around the 1st MTPJ at 4 weeks than 2 weeks.
Without knowing more about your patient, differentials would include AVN, osteomyelitis/septic joint, Charcot arthropathy, and...
Editor's note: Dr. Lamster's extended-length letter can be read here.
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| RESPONSES/COMMENTS (RESIDENCY SHORTAGE CRISIS ) | |
RE: Unmatched Residents, One Possible Solution From: Stephen Peslar, BSc, DCh
It has been sad reading about the ongoing unmatched residents crisis. Out of sight does not mean that solutions have been found – just ask a recent podiatrist grad who does not have a residency! I am wondering if it possible for 10-20 DPMs, as a group, to provide $40,000 annual funding during the next 12 years for a teaching hospital that does not have (or has) a podiatrist resident, to create or add an additional podiatrist resident position? The donations would be tax-deductible and each podiatrist could pledge an annual contribution of $2,000 to $4,000.
I know that there are medical-legal obstacles and liability issues to overcome, but a hospital CEO might make it possible for a podiatrist resident position to be created if the funding is there from podiatrists. The podiatrist resident could also do short placements with some podiatrists in private practice. Who knows what goodwill will result from this move? The hospital may continue the funding after the 12 year period has ended.
Rather than accusing association(s) or leader(s) of profession myopia or poor understanding of the reality of podiatric economics, a grassroots proposal may help the podiatry graduates who desperately need a PSR sooner than “better luck next year.” This would certainly change the current mantra of “podiatrists eating their young.”
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MEETING NOTICES - PART 1
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| RESPONSES/COMMENTS (PM NEWS QUICK POLL) | |
From: R. Alex Dellinger, DPM
There are many issues facing podiatry, just as there are many issues facing medicine in general. This will be my 15th year in practice. My practice has 4 doctors now, and I do most of the daily practice managing such as payroll, paying all the bills, etc. So, on top of seeing patients 5 days a week, I put a lot of hours in related to my practice.
I typically see patients 8:30 AM to 5 PM Monday through Friday. I do surgeries on Wednesdays, starting usually around 7 AM, and after those are done, I have the rest of that day off. I also stop seeing patients around 2 PM on Fridays so I have time for a long weekend, etc. I never am on call. I rarely get called from surgery patients, thus my...
Editor's note: Dr. Dellinger's extended-length letter can be read here.
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MEETING NOTICES - PART 2
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| CLASSIFIED ADS |
PODIATRY OFFICE FOR RENT IN NEW YORK AND NEW JERSEY
Open your own practice or become an associate. Turnkey Podiatry offices available for lease in Manhattan, Brooklyn, Queens, and New Jersey, Start-of-the-art equipment. Full support, staff, advertising and management is available as an option. Send email to FootComfort@outlook.com or call 917 284-5096
PODIATRY OFFICE FOR RENT - STATEN ISLAND, NY
1000 square foot (approximate) office in large modern medical center. Good parking, public transportation, 36 years as a podiatry office. 5 exam rooms, business office, lab, reception room, bathroom, central air. Great layout. Designed for Podiatry/medical. Call 212 794 0089
PRACTICE FOR SALE - SOUTHWEST FL
Multilocation multidoctor practice in beautiful Southwest Florida. Practice has grossed over seven figures consistently and currently shows 10-15% growth in revenues with increase in new patients and patient visits. EHR is already implemented with meaningful use criteria met. Practice has been professionally evaluated by Provider Resources. Only serious inquiries to this email address. This is a great practice in Paradise and a good opportunity for the right doctor or doctors. Email to: practiceforsaleswfla@gmail.com
ASSOCIATE POSITION - SOUTHERN CALIFORNIA
Very busy, two location group practice seeking a full-time, self-motivated and hard-working podiatry associate. Competitive salary offered. Please email CV to: podiatrists@icloud.com
ASSOCIATE POSITION – TEXAS
Corsicana Foot and Ankle is seeking an PSR-24 associate with possible future partnership. Brand new state-of-the-art facility, one hour south of Dallas, complete with EMR, digital x-ray, PADnet, ultrasound and hospital privileges. Competitive salary with benefits. Please send Letter of Interest and CV to footdoc3143@gmail.com
ASSOCIATE POSITION - SOUTH CAROLINA
South Carolina's largest provider of foot care is a multi-doctor, multi-location practice currently seeking a highly skilled, personable, and hardworking physician to join our TEAM. South Carolina License is necessary. Above average salary and benefits. Please send Letter of Interest and CV to:scdpmjobs@gmail.com
ASSOCIATE POSITION – TAMPA, FL
Ethical business-minded practitioner to join a small growing group in the Tampa Florida area. Owner/Buy-In should be your goal. Must have strong marketing skills and be willing to get out into the community. You will need strong business development and practice management skills with willingness to research and bring new ideas to the table. Write to us and explain why you want to join our practice and what you have to offer. I will assume that you have strong surgical skills so please elaborate on other qualities. Send CV and Check our website www.thetampapodiatrist.com/. Emaildocmkatz@gmail.com
ASSOCIATE POSITION – SOUTHEAST VIRGINIA
Group practice seeking personable well trained podiatrist. ABPS Qualified/Certified. Must be motivated with excellent clinical, charting and surgical skills – comfortable with all aspects of podiatry including limb salvage and flatfoot reconstruction. Practice has all modern conveniences and experienced support staff. Send email of intent (subject: New Associate) with CV:1footassociate@gmail.com
ASSOCIATE POSITION – HARRISBURG, PA
Advanced Podiatry is seeking a full-time podiatrist in a professional environment for all ages in the office and nursing homes. Applicants must be BC/BE in ABPM or ABPS. Advanced Podiatry is located in Harrisburg, PA. Position pays salary plus benefits. If interested call 717-657-5050 or email at lvgreerdpm@verizon.net.
PM News Classified Ads Reach over 15,500 DPMs and Students
Whether you have used equipment to sell or our offering an associate position, PM News classified ads are the fastest, most-effective way of reaching over 15,500 DPMs. for details, click here or write to:bblock@podiatrym.com or call (718) 897-9700 for details. Weekly ad rates start as low as $125 for a 50-word ad. THIS OFFER DOES NOT APPLY TO BUSINESSES PROVIDING PRODUCTS OR SERVICES. Note: For commercial or display ads contact David Kagan at (800) 284-5451.
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| 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.
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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
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