The Voice of Podiatrists

Serving Over 9,000 Podiatrists Daily

January 08, 2007 #2,784 Editor-Barry Block, DPM, JD

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We've just posted the January CME titled "How to Select Wound Care Products: A Guide for Podiatrist" by Robert G. Smith, DPM.

You can Earn 15 CPME-Approved CME credits Online for only $139
http://www.podiatrym.com/cme.cfm
Choose any or all of over 20 CME articles posted
You Can Now Take Tests and Print Your CME Certificates Online

NY Podiatrist Named Businessman of the Year

If you're a fan of the CDM Chamber of Commerce's annual blues festival at Cedar Beach, you're a fan of Dr. Mark Gresser too. The Mount Sinai podiatrist and CDM first vice president has been the driving force behind the event since its inception in 1991, booking the acts and expanding the show to meet increasing demand over the years. The first performance consisted of "two bands on a hay cart," Gresser recalled, while last year's featured 35 groups on two stages.

Dr. Mark Gresser

When it comes to music, the Cedar Beach show is only one aspect of Gresser's dedication. He writes music reviews, is involved with the Riverhead Blues Festival and serves as both vice president of the Long Island Blues Society and vice chairman of the recently created Long Island Music Hall of Fame. Music and his medical practice may be Gresser's main focuses, aside from his wife and children, but he also finds time to teach at Briarcliffe College, volunteer with the Boy Scouts and keep up with civic affairs.

Because of his longstanding service to the CDM, or Council of Dedicated Merchants, the great success of the festival that was his brainchild, his other activities in the local music scene and his dedication to the patients he serves five days a week, Gresser has been named 2006 Man of the Year in Business.

Source: Peter C. Mastrosimone, The Village Beacon Record [12/28/06]

Retired CA Podiatrist Charged With Molestation of 7 Year Old

A retired Marin County podiatrist whose drug arrest made headlines a decade ago when he argued that the marijuana on his property was actually medicine was arraigned Friday on charges of sexually molesting a 7-year-old boy.

Dr. Alan Ager

Alan Lawrence Ager, 59, was charged in Marin Superior Court with one count of sexual abuse and two counts of lewd and lascivious behavior with a child under age 14, all felonies. He was arrested at his Nicasio home Thursday morning after the alleged abuse was reported to the Sheriff's Department patrol division, prompting an investigation. In 1999, Ager was sentenced to a year in jail and his son Daniel was sentenced to six months for cultivating and selling marijuana.

Source: Peter Fimrite, San Francisco Examiner [1/6/07]

Bioterrorism/All-hazards Preparedness Available Free

Podiatric physicians are encouraged to take the first of a series of courses in bioterrorism/all-hazards preparedness included in a grant project funded to Nova Southeastern University College of Osteopathic Medicine by the U.S. Public Health Service, Health Resources and Services Administration as physicians. The first course is available without cost and is completely on-line. Registration is done on-line and a certificate of completion is granted upon completion. Access is obtained at www.nova.edu/allhazards

This initial course is designed to develop an awareness of the various acts of bioterrorism, weapons of mass destruction, man-made non-intentional disasters, and natural disasters ). For further information contact Leonard A. Levy, DPM, MPH, Associate Dean for Education, Planning and Research, Director, Center on Bioterrorism and All-hazards preparedness, Nova Southeastern University College of Osteopathic Medicine, levyleon@nsu.nova.edu or (954) 262-1469.

For a list of all meetings go to: www.podiatrym.com/meetings.pdf

Query: Pediatric Hallux Valgus Bunion Splint

I have a family as patients where all of the very young children have a hallux valgus deformity. The children range in age from 3 to 8. Surgery is not an option with this family, nor do I feel it is appropriate at this age. Does anyone know of a small pediatric bunion splint which could be used until the children are older. Orthotic control is being used with several of the older children with minimal benefit.

Edward R. Nieuwenhuis DPM, Wycoff, NJ

RE: STJ Arthroeresis vs Evans (Tip Sullivan DPM)
From: Jacob Fassman, DPM, Eugene A. Batelli, DPM

To decide which procedure to perform on a pediatric patient with a painful flatfoot, try holding the patient's rearfoot in STJ neutral with one hand cupped around the calcaneus. Then, with the other hand load the forefoot under the 4th+5th met heads. If there is a locking sensation, then the midfoot is locked, and thus an arthroeresis procedure would be the procedure of choice. If and when you load the forefoot, and there is no 'locking sensation', and the midfoot is unstable while the rearfoot is in neutral, a calcaneal osteotomy (Evans) would be appropriate.

Also, be sure to carefully look at the weight-bearing x-rays. If there is significant metatarsus adductus, an Evans procedure is not warranted, as this would exacerbate the pre-existing deformity.

Jacob Fassman, DPM, Kingston, NY, jfassma1@hotmail.com

I do not feel it is appropriate to substitute one of these procedures for the other. Subtalor arthroresis is used to control frontal plane motion. The Evans calcaneal osteotomy corrects in the transverse plane. In children, I will typically perform both procedures if I can identify the deformity on more than one plane (valgus heel weight-bearing and obliquity of the calcaneocuboid joint). Another procedure which I perform concomitantly, is an endoscopic gastroc recession. I find by eliminating the equinus first, I get a better representation of what the rearfoot is doing in relationship to the forefoot. I believe Dr. Barrett wrote a paper on this in late 2004 or early 2005.

Eugene A. Batelli, DPM, Naples, FL, ebatelli2001@yahoo.com

RE: Lost Soft Tissue Mass
From: Multiple Respondents

I had a patient with a similar lesion, strictly by appearance. It turned out to be benign, a cavernous hemangioma - not very common. She has healed without incident. I would watch it closely just in case there is a malignancy with recurrence.

Marc Katz, DPM, Tampa, FL, dr_mkatz@yahoo.com

Dr. Glass's lost specimen looks like a giant cell tumor of the tendon sheath I took out 10+ years ago. According to Cole and DeLauro's book it is a variant of a pigmented villonodular synovitis.

Catherine Yack, DPM, Huntsville, AL, cpod52@bellsouth.net

The mass described in the photo looks vascular on clinical appearance. If that is the case it looks like a hemangioma.

Steve Berlin, DPM, Baltimore, MD, drstevenberlin@yahoo.com

RE: Gold Standard for Osteomyelitis (James Breedlove, DPM)
From: Multiple Respondents

Its true, by operating on the patient and removing osseous tissue and sending it to pathology you can have the most definitive diagnosis of osteomyelitis. It will be more accurate than MRI or any of the scans but you may in the process compromise your patient’s health causing a bad condition to get worse. If a person has poor circulation and that is why he or she developed and infected ulcer and OM in the first place, doing a deep surgical excision of bone might be enough to permanently compromise healing. If the statistics are such as Dr Katz indicates that if MRI is positive, it is 99% sure that the patient has Osteomyelitis, I'd rather err on the side of conservative treatment, and rely on the MRI rather than on risking doing possible harm to the patient by doing a bone biopsy of every case of a deep ulcer I see.

Elliot Udell, DPM, Hicksville, NY, Elliotu@aol.com

ASSOCIATE POSITION - NORTHERN VIRGINIA

Well-established, busy, diversified, multioffice/multidoctor practice seeking associate with opportunity for partnership. Must be highly motivated and ethical with strong interpersonal and patient skills. Excellent opportunity for PSR 24 or higher trained individual to complement a full-scope podiatric medical and surgical practice. Competitive salary and benefits package. Please send CV and references to saglag2@aol.com or fax to (703) 368-5103.

ASSOCIATE POSITION – ST. LOUIS, MISSOURI

Immediate Opening. Busy practice in prime suburban St. Louis location looking for a surgically trained associate, possible partner. Must be honest, ethical and hardworking. ABPS preferred, but not required. Please reply with CV and requirements to mdwrtw@aol.com

ASSOCIATE POSITION- PALM BEACH COUNTY, FLORIDA )

Excellent opportunity for a hard working, motivated podiatrist to join a vibrant, successful and growing podiatric medical and surgical practice. Partnership opportunity available. Seeking a board eligible/certified trained foot and ankle surgeon for a well rounded podiatric practice. Position is available immediately. Competitive salary. Please respond to springwm41@aol.com

ASSOCIATE POSITION—NORTH COASTAL CALIFORNIA

Two fully staffed rural offices with continually growing patient load. We take care of all aspects of podiatry: assisted-living centers, palliative care, wound care, biomechanics, surgery, diabetic care. Hospital privileges are available to those properly qualified. If you are interested in challenging and hard work leading to partnership, send your CV to jimf@humboldt1.com

ASSOCIATE WANTED FOR SOUTH MIAMI AREA

Large group, busy, multi-office, partner potential. Motivated applicants only. Mail resumes and letters of intent to 999 N. Krome Avenue, Homestead, FL 33030. July start time OK, sooner preferable. E-mail lianadpm2@aol.com. I can also be reached at 305-331-4501.

ASSOCIATE POSITION - NORTHEASTERN PA, POCONO REGION

Looking for an enthusiastic, personable, well-trained foot and ankle surgeon to join busy practice. Candidate must have completed a minimum two-year surgical residency program, demonstrate qualities of self-motivation, high morality and good surgical skills. Package includes malpractice ins. health ins. and competitive compensation. Terms negotiable. Email LT1525@aol.com Or fax CV with cover letter to 570-476-6839.

ASSOCIATE POSITION- KANSAS CITY, MO

Excellent opportunity for a hard working, ethical podiatrist to join a vibrant, successful and growing podiatric medical and surgical practice. Dedicated, supportive staff with strong marketing and medical knowledge. Must be board eligible/certified. PSR/24. Partnership opportunity. Competitive salary, bonus structure, benefits. Wonderful place to raise a family. Fax CV to 816-455-8901

ASSOCIATE POSITION--PHOENIX SUBURB

Attractive opportunity for enthusiastic, proficient, and personable associate. Well-established modern practice with multiple newer spacious offices, technology and equipment. Solid referral base, close to hospitals, knowledgeable certified staff. 22% MCR. Practice and surgical center partnership potential opportunity. Prefer 24-36+ PSR. Send CV: AZpodassociate@aol.com

ASSOCIATE POSITIONS - VIRGINIA

Immediate/July full time associate positions available. Unlimited income potential. Busy, diverse, 40+yr Hampton Roads practice. Must be compassionate; energetic; and motivated; PSR24/36. Looking for long term arrangement. Please send letter and CV to fixafoot@cox.net or fax to 757-397-5889; www.podiatryltd.com

ASSOCIATE POSITION - MISSISSIPPI

Well established, busy, 3-doctor practice seeks PSR 12 or 24 trained podiatrist for associate position to fill vacancy of retiring member. East central location is a great area to raise a family and is a prime location for accessibility to several major cities. Competitive salary, benefits, and incentives. Partnership possible in 2 years to right individual. June - July start date. Applicant must be ethical, personable, and motivated. Please E-mail CV and letter of intent to shanegan@bellsouth.net

ASSOCIATE POSITION - LOS ANGELES/SOUTH BAY AREA

Multi-office, multi-doctor, well-established practice near the beach cities. Seeking a board eligible/certified PSR-24 or PSR-36 trained foot and ankle surgeon. Well-rounded practice requiring knowledge in biomechanics, pediatrics, sports medicine, diabetic wound care, trauma, and reconstructive foot and ankle surgery. Full-time position available immediately with generous compensation and benefits, including malpractice, and health insurance. Two-year commitment required with partnership opportunity. Send CV to akemfoot@sbcglobal.net or fax to (310) 838-0227.

POSITION AVAILABLE - SOUTHEAST TENNESSEE/ NORTH GEORGIA

Immediate position available or will wait for the right individual. Unique practice opportunity in growing multi-physician/multi-office practice. Well established/cutting edge within the medical community. Close proximity to hospitals as well as opportunity to become involved with a free standing podiatric surgical center. Must be BQ/BC. Minimum PSR/24. Competitive salary, bonus structure and benefits. E-mail CV to afcjen@hotmail.com

ASSOCIATE POSITION - CENTRAL CALIFORNIA

Central California multi-location practice looking for PSR-36 associate leading to partnership. PSR-36 trained podiatrist with great opportunity for reconstructive surgical practice. Practice has Medicare-approved surgery center. Must have excellent interpersonal skills. Excellent salary and incentive. Respond to: westsidefoot@yahoo.com

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