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| PM News | |
The Voice of Podiatrists
Serving Over 17,248 Subscribers Daily
January 16, 2016 #5,579  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2016- No part of PM News can be reproduced without the
written permission of Barry Block
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| PM NEWS QUICK POLL | |
FINAL CHANCE TO VOTE
Quick Poll
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Should Dr. Scholl's be allowed to advertise "custom-fit orthotics"? |
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| AT THE COLLEGES | |
WesternU Dean Leads TRaIN Conference on Avoiding Amputations
A Tuesday Rounds and Intercollegial Networking (TRaIN) Conference on the topic “Prioritizing Risk Factors to Avoid Amputation” was provided January 5, 2016 by Founding Dean, Lawrence B. Harkless. The learning objectives included (1) citing the risk factors for ulcers; (2) Listing the risk spectrum for vascular disease; (3) predicting the likelihood for limb salvage versus amputation based on the vascular risk spectrum.
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(L-R) Drs. Lester J. Jones, John Carson, John Williams, Sara Dahle, Darren Saltzman, and Lawrence Harkless |
Visiting Faculty included Darren Saltzman, MD from the Chief and General Surgery Residency Program and student rotations for Podiatric Medical Students at Olive View UCLA Medical Center, Dr. Carson, Chief of Vascular Surgery at the VA, Sacramento, Sara Dahle, DPM Chief of Podiatry at the VA, Sacramento, and John Williams, DPM at the VA Sacramento. This is a weekly conference that is provided via the web with participants from WesternU CPM Faculty and students as well as 3rd-year students from The Scholl College of Podiatric Medicine, Rosalind Franklin University of Medicine and Science.
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| PODIATRISTS IN THE NEWS | |
Suddenly High Arch Could Mean Nerve Damage: MD, IL Podiatrists
You notice a suddenly high arch. It could be nerve damage. "Most high-arched feet are associated with some form of underlying neuromuscular condition," says Gary A. Pichney, DPM, a podiatric surgeon of The Institute for Foot and Ankle Reconstruction at Mercy Medical Center. "If someone has thinning of the arch muscles in the foot, it could be an indication of a neurological condition called Charcot-Marie-Tooth (CMT)."
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Drs. Gary Pichney and Marlene Reid |
An inherited disorder that damages the peripheral nerves (those outside the brain and spinal cords), CMT can also cause changes in gait, numbness in the feet, difficulty balancing, loss of muscles in the lower legs, and later on, similar symptoms in the arms and hands. See your doctor if you notice abnormalities. "For anything that’s different or changes when it comes to the foot, see your podiatrist right away," says Marlene Reid, DPM, a foot specialist in Naperville, IL.
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| INTERNATIONAL PODIATRISTS IN THE NEWS | |
Brunei Podiatrist Discusses Viral Warts
Viral warts and ingrown toenails are among the most common conditions treated by the Podiatry Department, Raja Isteri Pengiran Anak Saleha (RIPAS) Hospital. Lim Kai Woon, a podiatrist from the department, told The Brunei Times that they see an average of 30 cases of viral warts and nine cases of ingrown toenails a week.
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Lim Kai Woon |
Lim explained that ingrown toenails refer to deformed toenails that pierce through the flesh and are caused either by genetics or trauma. “(The problem with ingrown toenails) is when it gets infected. This leads to further complications such as swelling, redness, and pain. If they (people with ingrown toenails) remove the nail, there is no guarantee that the problem won’t reoccur,” said Lim. He said that podiatrists can provide the solution to remove and permanently correct the problem by using a caustic chemical called phenol which kills the roots and prevents the nail from growing into the flesh again.
Source: Julius Hong, Bandar Seri Begawan, The Brunei Times [1/14/16
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| OUTSIDE INTERESTS | |
FL Podiatrist was Once a "Pop Princess"
Tucked away in a quiet corner of the internet is an ode to the city few Edmontonians have ever heard. It's a curious song; uploaded to SoundCloud under the moniker Edmonton Theme, it has all the trappings of the eighties, with synthesized beats, cheesy crescendos, and a boisterous horn section. The song has been swapped around on social media sites for years, but its origins have been shrouded in mystery, until now. The voice belongs to Edmonton's Annabelle Santos-Dookie, DPM, who now works as a foot doctor in Florida.
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Dr. Annabelle Santos-Dookie |
She was only 15 years old when she recorded the song back in 1995. At 18, Santos-Dookie moved to the Philippines where she became the acclaimed "pop princess" Maxine. "There was this producer from the Philippines, an older guy, and he said, 'Let's make an album.'" Her songs were played on MTV and she worked as a radio DJ and a game show host. There were cameos on network television, A-list friends, and tabloid articles. Burned out and fed up with her fame, Dookie decided to leave the red carpet behind and pursue a career in medicine. She now runs a successful podiatry practice outside Fort Lauderdale.
Source: Wallis Snowdon, CBC News [1/14/16]
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| QUERIES (MEDICAL-LEGAL) | |
Query: Non-Compliant Minor Patient
If a minor dependent patient is non-compliant with physician instructions regarding aftercare for a surgical procedure performed or a cast application, then what is the physician recourse? Should the patient be discharged from the practice if their non-compliance was so flagrant and against medical advice that it would cause irreparable harm to themselves and possibly cause permanent disability, morbidity or sequela? If the minor dependent patient does not heed the instructions provided by the physician and repeatedly ignores the requests of their parents or guardians to follow instructions provided, then what is the best recourse? Is this grounds for discharge? If these same parents or guardians do not contact the physician regarding their minor dependent's non-compliance, then how should this be handled when the minor patient returns to the office to be seen? What if the parent or guardian of the minor patient is a patient as well, then should they be discharged from the practice?
Joseph Borreggine, Charleston, IL
Editor's comment: PM News does not provide legal advice. Any patient, regardless of age, can be discharged for non-compliance. The key is always to document the non-compliance and leave a paper trail. A letter should be sent to the parent or guardian via certified mail, return receipt requested. If the parent or guardian is also a patient, you have the option to discharge that patient as well if you believe that the minor's non-compliance is attributable to the parent or guardian.
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| CODINGLINE CORNER | |
Query: Meaningful Use Measure 10
It is my understanding that since the first two sections of Measure 10 are not applicable to podiatry - namely immunizations and syndromic surveillance - we are therefore required to participate with two registries. As far as I know, the only registry now available to podiatry is the US Wound Registry. I have signed up with this registry and have begun uploading data to them already. However, I would like to know if we really do need to participate in two registries, and if so, what other registries are available.
I know that the APMA and other organizations are working at setting these up for us currently, however as far as I know, we need to participate with the registry within the first 60 days of the reporting period...and for 2016 that would be the end of February. Does anybody have any information regarding the registries and the requirement to participate in one or two of them regarding podiatry?
Mark Stempler, DPM, Staten Island, NY
Response: You do not have to participate in two registries if you are using the US Wound Registry. You can both submit PQRS and meet the requirements of the 3rd Measure of Meaningful Use Objective 10 with the US Wound Registry.
Jeffrey Lehrman, DPM, Springfield, PA
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| RESPONSES/COMMENTS (EMR) | |
From: Raymond F Posa, MBA
Dr. Zale’s query is heartbreaking but not uncommon. If misery loves company, then Dr. Zale, you are among over 256,000 other physicians who will be experiencing the same cuts. It also demonstrates a misunderstanding of the Stimulus program and EMR use. The Meaningful Use Stimulus program was voluntary. You could choose to accept stimulus money to help offset some of your EMR and compliance cost or not accept them. But the biggest misunderstanding is to think that using an EMR in a meaningful way was optional.
All covered entities are required to be using an EMR program in a meaningful way. The government was very clear on this. The only option was if you want to take the stimulus money to assist you with this task. So, not “getting involved” with EMR was never an option; the penalties for not using EMR have always been there, it is just that now the penalties begin and some of the penalties will be cumulative and some will be annual until you meet meaningful use.
Raymond F Posa, MBA, Farmingdale, NJ
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| RESPONSES/COMMENTS (NON-CLINICAL) | |
RE: Confused
From: William Deutsch, DPM
So are we supporting the certified pedorthists who will take away our orthotics income, but we are opposed to the Scholl orthoses because they claim to be custom, but are probably semi-custom at best that will take away our orthotics income? And why all the fuss over RFC when we're doing three-year residencies to perform rear foot and ankle surgery?
William Deutsch, DPM, Valley Stream, NY
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| RESPONSES/COMMENTS (NEWS STORIES) | |
From: Bryan C. Markinson, DPM
The article referenced concluded that documentation of dermatophyte infection and/or liver disease prior to treatment with oral terbinafine is not cost-effective due to the relatively low incidence of complications with this agent, as well as low cost. However, should the patient have an idiosyncratic reaction to the terbinafine (rare, but possible, and many have occurred) and require a liver transplant, or perhaps even die (very rare, but it happens), try presenting this article in your defense (if litigation ensues), and then ask the authors of the article if they considered this in their "cost-effective" model.
As an aside, the article did go on to say that when considering newer topical agents for onychomycosis, that it IS cost-effective to get pre-treatment confirmation that a dermatophyte is causing the infection.
Bryan C. Markinson, DPM, NY, NY
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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Do you see a black shoe with white stripes or a white shoe with black stripes? |
Source: Virtual Shoe Museum
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MEETING NOTICES
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| CLASSIFIED ADS - PART 1- ASSOCIATE POSITIONS AND FELLOWSHIPS |
FELLOWSHIP – DIABETIC FOOT & WOUND (TEXAS)
One position for a 12-month TMB-approved Diabetic Foot and Wound fellowship beginning July 1, 2016. Candidate must have completed a podiatric residency/plastic surgical residency/general surgery residency and be eligible for Texas Medical License. Training involves all aspect of diabetic foot management. Curriculum focuses on surgical limb salvage, and medical management of the complex wound patient. Interested candidates should email their CV, personal statement and 3 letters of recommendation to latonya.rosales@utsouthwestern.edu. UT Southwestern is an Affirmative Action/Equal Opportunity Employer. Women, minorities, veterans, and individuals with disabilities are encouraged to apply.
ASSOCIATE POSITION - NEW YORK CITY & QUEENS
High Income Potential. One of the fastest growing podiatry practices in New York City and Queens seeks a hard-working podiatrist who participates with HealthFirst, Fidelis, and other Medicaid plans. Preferably a Spanish-speaking podiatrist. Contact me at Podocare123@gmail.com
IMMEDIATE POSITIONS AVAILABLE - ORANGE AND DUTCHESS COUNTIES- NEW YORK
Looking for podiatrists to see residents in nursing homes and skilled nursing facilities in New York, specifically in Orange and Dutchess Counties. Great opportunity for full-time or part-time income. Positions available immediately! inquiries to: phasetwopodiatry@gmail.com
ASSOCIATE POSITION - CENTRAL NJ
We are seeking a qualified Part Time or Full Time podiatrist for our office. We're a busy podiatry office with locations in Central NJ. The office has been in practice for over 25 years and has great reputations in its communities. The ideal doctor will be comfortable participating in community services such as health fairs, educational lectures and complimentary screenings. The office will provide you with every tool needed for your success such as treatment protocols, peer networking groups, as well as a full time marketing person. We're looking to hire immediately. Email jessica@stopfootpainfast.com
POSITIONS AVAILABLE - FULL TIME/ PART TIME WISCONSIN
Opportunities to serve residents of long-term care facilities in Madison and Eau Claire areas of Wisconsin. High earning potential with competitive benefits as part of a 40 year old company for the right candidates. Contact ckestner@preferredpodiatry.com for additional information.
ASSOCIATE POSITION – NEW YORK CITY / NEW JERSEY
Highly ethical and motivated practitioner sought. Experienced, assertive, podiatric surgeon wanted. All aspects of forefoot, rearfoot, and ankle surgery. Board qualified or certified. Please send C.V. to bunioncenter135@yahoo.com
ASSOCIATE POSITION – ILLINOIS
Carle Physician Group with over 400 physicians in Urbana-Champaign, Illinois is seeking an additional office-based, non-surgical BE/BC Podiatrist to join our 15 member Orthopaedic Department; employed model, Monday through Friday practice with no call; large built-in referral network; Big 10 University city; email CV to Karen.uden@carle.com.
ASSOCIATE POSITION - SOUTHERN CALIFORNIA
Very busy practice seeking a full-time, self-motivated and hard-working podiatry associate. Competitive salary offered. Please email CV to: podiatrists@icloud.com
ASSOCIATE POSITION - WESTERN PHILADELPHIA SUBURBS
Multi doctor group has an associate position available to join our busy practice. Candidate must have a minimum PMSR/36 with RRA training. Our practice is extremely diversified with all aspects of podiatry including wound care. If you are well trained, outgoing, personable and would like to join our team, please e-mail a cover letter and your cv to joinourgroup2016@gmail.com
ASSOCIATE POSITION AVAILABLE - CALIFORNIA
Busy three office practice in Santa Cruz County, California seeking new associate. Must be BQ or BC. Full scope of patient care. Competitive salary, and health insurance. Come join us on the beautiful California coast. Please forward cover letter and CV to skyandellie@yahoo.com.
ASSOCIATE POSITION - OHIO
Well-established group practice in Ohio seeks a well-trained surgeon, PSR24/36. Our practice provides all of the latest technology needed to provide patients with the best care, including ultrasound, lasers, PAD testing, DME, EMR and digital x-ray. Competitive compensation package including salary base $120,000 and bonus. Please send CV to: DPMgroup1@yahoo.com
ASSOCIATE POSITION - TEXAS - DALLAS SUBURBS
Seeking well rounded individual to join our well established, modern practice. Surgery, orthopedics, wound care, primary care and sports medicine. Very competitive salary with bonus structure and benefits. Early partnership opportunity for the right person. This is a rare opportunity. Please send letter of interest and CV to: Podiatrysbest@gmail.com
ASSOCIATE POSITION - UPSTATE SOUTH CAROLINA
Established practice seeking ethical, skilled, hard working associate in summer 2016. Must be BQ(or BC) ABFAS and 3 year residency trained. Competitive salary and benefits with bonus and early partnership opportunities. Should have strong interest in advanced wound care. Great location and community. Forward cover letter and CV to: scsoledocs@gmail.com.
IMMEDIATE ASSOCIATE POSITION - INDIANAPOLIS, INDIANA
Available in busy three office practice Leading to Partnership. Position available for graduate in 2016. Two locations in Indianapolis and 1 location outside of Metro area. Competitive salary and benefit package including 401, profit sharing, Health insurance. Surgery Center Ownership Available If interested forward letter and resume to Imalament1@comcast.net
PM NEWS CLASSIFIED ADS REACH OVER 16,500 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 16,500 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 (800) 284-5451.
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| CLASSIFIED ADS PART 2 - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
PRACTICE FOR SALE – CENTRAL FLORIDA
Practice available in a small town in Central Florida. Podiatrist retiring. Was full 4 day practice but now 2 days due to illness. Easily expanded. Same location over 30 years. Surgical and hospital privileges available but not required. Purchase equipment and assume patient care . Send inquiries to: DDave9388@aol.com
PRACTICE FOR SALE - BRITISH COLUMBIA, CANADA
Have you ever dreamed of owning a practice where you can see 0-50 patients daily, average 100 new patients monthly, have zero accounts receivable, gross $440K per year, live in a beautiful community with skiing, hiking, fishing and boating on your doorstep? Contact pistone@telus.net or call 250-754-4192.
PRACTICE FOR SALE – PENNSYLVANIA
Great opportunity for a new practitioner to step into a busy group practice with one doctor retiring. Practice is well established with a good mix of RFC, rearfoot and forefoot surgery, wound care, and diabetic foot care. Full EHR implementation. Practice is in a medical office building with many specialties providing an excellent referral base. Great small town to work in and raise a family. Approx 45 minutes to Baltimore Owner willing to finance and stay during transition. Contact: papodiatry616@gmail.com
PM NEWS CLASSIFIED ADS REACH OVER 16,500 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 16,500 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 (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.
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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- Subscribers are reminded that they have an ethical obligation to disclose any potential conflicts of interest when commenting on any product, procedure, or service.
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