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PMNews
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| PM News | |
The Voice of Podiatrists
Serving Over 20,000 Subscribers Daily
January 27, 2021 #6,873  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management https://podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2021- No part of PM News can be reproduced without the
written permission of Barry Block
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| PM NEWS QUICK POLL |
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Do you routinely order liver function tests when prescribing oral Lamisil?
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| PODIATRISTS IN THE NEWS | |
Custom Orthotics Can Reduce or Eliminate Pain Caused by LLD: VA Podiatrist
Humans are not perfectly symmetrical. Almost everyone has one ear that’s higher or one foot that’s larger than the other. Similarly, leg lengths are often not quite the same. There is disagreement as to what constitutes a clinically significant difference, but some studies suggest that leg length discrepancy (LLD) can lead to osteoarthritis (OA) of the hip or knee. Foot height discrepancy can be a significant contributor to LLD, says George Lane, DPM, a podiatrist at Achilles Foot & Ankle Center, Richmond, VA who developed a novel technique for evaluating foot contribution to LLD.
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Dr. George Lane |
“A mild to moderate foot height discrepancy, which is often just a few millimeters, means there are typically significant misalignments within the joints of at least one of the feet,” Dr. Lane explains. “This can not only have a profound damaging effect on the joints of the feet, but also on ligaments, tendons and joints of the lower extremities, and back. Properly made custom orthotics can play a pivotal role to dramatically reduce or eliminate pain, progression of deformity, and joint damage in this situation.”
Source: Abdollah Shams-Pirzadeh, MD, PA, FACR, & Kimberly Retzlaff, The Rheumatologist [1/20/21]
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| PODIATRISTS AND SOCIAL MEDIA | |
CA Podiatrist is TikTok Superstar
Dana Brems, DPM is a TikTok superstar with nearly a million followers. Dr. Brems received her podiatric medical degree from the Western University of Health Sciences College of Podiatric Medicine in 2019 and is currently a 2nd year resident at MemorialCare Long Beach Medical Center in Long Beach, CA.
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Dr. Dana Brems |
Dr Brems has been active on TikTok and Instagram as @footdocdana for a bit over a year. She has been named as one of the top 10 medical influencers by Trendalytics and is most well-known for humorous and educational short video content. To view one of Dr. Brem's posts about podiatry, click here.
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| APMA STATE COMPONENT NEWS | |
FPMA Announces New Officers and Annual Awards
At the 2021 Florida Podiatric Medical Association FPMA Science and Management Meeting on January 13th, the following officers were installed:
President: John Goggin, DPM
President-Elect: Cary Zinkin, DPM
Vice President: Alissa Zdancewicz, DPM
Treasurer: Larissa Schmidt, DPM
Secretary: David Schweibish, DPM
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(L-R) Drs. Vakil, Larissa Schmidt, Cary Zinkin, John Goggin, Alissa Zdancewicz, and David Schweibish |
The following awards were presented:
Lifetime Achievement: Stephen Meritt, DPM
Meritorious Service Award: Chet Evans, DPM
Podiatric Physician of the Year: Adriana Strimbu, DPM
Young Practitioner of the Year: Nicholas Coretti, DPM
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| FROM PM's CURRENT ISSUE | |
Several times a week, PM News posts an entire article from a recent issue of our partner, Podiatry Management Magazine. Please note that the views expressed in Podiatry Management Magazine do not necessarily reflect the views of PM News or Barry Block.
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Today's Featured Article |
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| QUERIES (CLINICAL) | |
Query: Non-Painful Bump on Ankle
This is an unusual incidental soft tissue finding in a 50 year old male who came in with painful retro-calcaneal pain. He recently noticed a non-painful bump on his ankle.
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X-Rays of Non-Painful Bump on Ankle |
He is on no meds and appears healthy. He has no history of parathyroid or other metabolic problems. Comments?
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| RESPONSES/COMMENTS (CLINICAL) - PART 1A | |
From: Bryan C. Markinson, DPM
There are elevated LFTs and there are elevated LFTs high enough to stop therapy. Having LFTs high enough to stop therapy is exceedingly rare. Just for perspective, most PCPs will not think about stopping a statin drug until the LFTs are 2-3 x normal range! I get asked weekly by colleagues if they should D/C terbinafine for a 5 point elevation. This degree of caution is unwarranted. I still maintain that the far greater medico-legal risk is prescribing terbinafine without laboratory confirmation of a fungal infection, a way too common scenario, not only in podiatry, but in primary care and even in dermatology.
In that setting, a negligence claim arising from a truly serious idiosyncratic reaction to terbinafine, (having nothing to do with whether or not laboratory confirmation was done) will be forced to settle, as every juror understands the concept of culture and appropriate prescribing. As soon as the possibility is brought to light that the patient had therapy initiated without confirming the diagnosis, the case is lost, or the risk/cost of defending it too great, even though getting a laboratory confirmation would not have made a difference.
Bryan C. Markinson, DPM, NY, NY
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| RESPONSES/COMMENTS (CLINICAL) - PART 1B | |
From: Elliot Udell, DPM
Dr. Williams said it all when he wrote that in the case of where one of his patient's liver enzymes elevated while on oral terbinafine, he sent the patient back to his primary care physician. Here is where a potentially serious problem may lie. I often tell patients that I never had a patient die from onychomycosis, but over the years, I have had to send condolence cards to families who lost loved ones who died from liver disease. The primary care physicians are well aware of the serious nature of hepatic disease. So what may happen if you or I send a patient back to his or her internist with elevated liver enzymes either caused by or exacerbated by oral terbinafine?
The doctor will have to evaluate what other medications the patient is taking, and in all likelihood will take the patient off of all meds including Tylenol in order to give the liver a rest. This is why most of the internists in my area will not prescribe oral terbinafine for patients who are taking many other meds. Lastly, could we be held legally responsible if a patient had an adverse event after his internist was forced to take him off of any life-sustaining meds because we overloaded the liver with terbinafine?
Elliot Udell, DPM, Hicksville, NY
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| RESPONSES/COMMENTS (DME) - PART 1A | |
From: Daniel Jones, DPM
I remember when I was in school. There was 'Vision 2015'. It essentially stated that the goal of podiatry was to have parity with MDs and DOs by 2015. Yet here we are, some 6 years later, still seen as second class physicians, or "allied healthcare providers". Even with the excellent work of the APMA, a podiatrist serving in Congress, and mandatory 3-year residencies (the same as PCPs nationwide), we still have to have a 'real doctor' sign off on our patients. Who knows our patients’ feet better than us? Who sees our diabetic patients more than us?
The point is this: We should be able to sign for the shoes ourselves. My staff and I spend countless hours explaining to our patients that the NP and PA they see for their primary care doesn't 'count' in getting shoes signed for. This also creates a potential rift between podiatrists and NPs and PAs, who see us sending patients they referred to us to another provider for this visit. By signing for ourselves, it eliminates barriers to diabetic ulcer prevention and lets our patients see their PCPs without burdening the system with unnecessary MD/DO foot checks.
For better or worse, there will be political changes to the practice of medicine. Likely, one of these multi-thousand page bills will be signed into law. Can we have just one of those pages give parity to DPMs? Title XIX has hindered us long enough. It's time for DPMs to take their seat at the table with MDs and DOs.
Daniel Jones, DPM, Casper, WY
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| RESPONSES/COMMENTS (DME) - PART 1B | |
From: Jeffrey Kass, DPM
I must compliment Barry Block, DPM, JD (editor of this forum) for allowing colleagues to express opinions here. It is becoming a little bothersome to continuously read problems the profession faces at this stage of the “profession”. Podiatry has evolved. Our colleagues have advanced this profession by leaps and bounds. Drs. Sokoloff and Marcus eloquently write about their frustrations with volunteering for administering Covid shots and the absurdity of the rules and regulations of the diabetic shoe program. I agree with them both as I’m sure the overwhelming majority of podiatrists do.
I’m curious what the APMA’s position is on these topics and why it is so difficult to straighten the BS out? Multiple drug companies figured out in “warp speed” how to create a vaccine in record time but podiatric leadership can’t figure out a way for a podiatrist to dispense a diabetic shoe to a patient missing multiple toes without writing an encyclopedia, asking an MD to sign off on it, and then having the money taken back anyway for not including an Rx even though he was the prescribing doctor.
I encourage those who have ideas how to change some of the dilemmas the profession faces to write in with them. Whether that means having every diabetic patient sign a petition or what not. I mean people - we really ought to put some of these issues to rest already.
Jeffrey Kass, DPM, Forest Hills, NY
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| RESPONSES/COMMENTS (NEWS STORIES) | |
RE: No Evidence That Running is Associated with Chronic Knee Pain: MN Podiatrist
From: Ivar E. Roth DPM, MPH, Ben Pearl, DPM
I am hoping that Dr. Langer, while probably technically correct that hard evidence does exist for a correlation of high intensity exercise/running and knee problems, does not believe that NO correlation actually exists. There is NO question that over-pronators cause stress to the medial knee. This causes pain - the more you pound on your feet with high intensity exercise, the more damage and pain that will occur. Of course, once a proper orthotic is made, this pain will decrease or subside.
Ivar E. Roth DPM, MPH, Newport Beach, CA
Dr. Langer Is correct that meta-analysis of published studies did not show scientific correlation of knee arthritis associated with running. There was a sports-specific participation literature review by Jeffrey Dibran in 2017 in the Journal of Athletic Training that was interesting. They collected 56 studies and found there was a 7.7% vs. 7.3% incidence of knee arthritis in elite and non-elite soccer players and elite runners (non-elite runners were not mentioned).
Anecdotally, I have noticed that after playing soccer sometimes for up to two hours in a pick-up game on a knee that is already compromised with a previous meniscectomy, I will experience knee pain and stiffness. I also noticed this if I run for long distances over 4 miles at a fast pace. The nature of getting good longitudinal studies for these types of problems is difficult and as authors suggest, but there is still work to be done.
Ben Pearl, DPM, Arlington, VA
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| RESPONSES/COMMENTS (OBITUARIES) | |
From: David G. Armstrong, DPM, MD, PhD
I read the wonderful letter from Steve Wan about Joe's passing and am still trying to register this. He and his wife, Pam, were always present at just the right time when I was growing up with just the right words of encouragement and perspective. Steve discussed Joe's desire to "pay it forward." I couldn't agree more. Let's all honor this great and good man's memory by doing that for the specialty he loved. RIP, Uncle Joe.
David G. Armstrong, DPM, MD, PhD
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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Double Decker Shoe? |
Source: Found on topankablog.hu
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MEETING NOTICES AND WEBINARS
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NEED CME CREDITS FAST?
PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME
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Earn 15 CECH only $249 (less than $17 per CECH)
podiatrym.com/cme.cfm
All required credits can be taken online for AL, AK, AR, CA, CO, DE, HI, IN, KS, LA, MA, ME, MI, MI, MS, NV, NJ, NM, ND, OH, OR, RI, SC, SD, UT, VA, VT, WV, and WI
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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
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| CLASSIFIED ADS - ASSOCIATE POSITIONS AND FELLOWSHIPS |
ASSOCIATE POSITION - ABINGDON, MARYLAND
Immediate associate position for a well-trained, highly motivated and compassionate individual. Rapidly growing, well established practice with a loyal patient following and strong physician referral base. Offering competitive salary with bonus structure, 401K, PTO, CME allowance, health (including vision and dental) and malpractice insurance. All aspects of podiatry with emphasis on wound care/diabetic surgery/limb salvage. Please email cover letter and CV to michael@mkblockdpm.com
ASSOCIATE POSITION – RICHMOND, VA
Foot and Ankle Specialists of the Mid-Atlantic, LLC is looking for an upcoming or recent residency graduate or experienced practitioner to join our practice in the Richmond, Virginia area. We are a growing group of 99 providers and 63 locations. If personable, motivated, well-trained, and licensed in VA or willing to secure a VA license, we would be delighted to discuss an associate position with you. We offer growth opportunities, a strong compensation package, and many other benefits. Please send a cover letter and resume to: newdpm@footandankle-usa.com. We look forward to hearing from you!
ASSOCIATE POSITION – NEW YORK
Seeking a highly motivated individual interested in evolving in private practice to a wealthy and knowledgeable affiliate entity with a large surgical based podiatry group. Surgeons with a two or three year residency preferred. Come join and Let’s keep New Yorkers on their feet! Please email your CV at podiatrynewyork@gmail.com
FULL TIME PODIATRIST - NORTHERN NEW JERSEY
We are a fast-growing podiatry practice in North Jersey with multiple locations and Doctors. We are currently looking for a full-time motivated and caring Doctor to join our busy practice. Some benefits include: competitive six-figure salary, generous bonus structure, health insurance (including vision & dental), paid vacation time off, paid malpractice insurance and CME time off. Great prospects for experienced Doctors as well as new Associates. This is an excellent opportunity to expand your Podiatric medical and surgical experience in an office-based practice! If interested, please submit your CV to DrSamofal@PodiatryCenterNJ.com
ASSOCIATE POSITION – BERGEN COUNTY, NJ
Looking for a full-time podiatrist in a very busy, fast-paced practice. Offering competitive salary and bonuses. Lots of sports medicine, excellent support staff, and positive environment. Immediate start date. Please e-mail CV to cma@njfootpain.com, should you have any further questions you may call Gerry 201-523-9489 ext 101.
ASSOCIATE POSITION - GREATER HARTFORD, CT
Our four-doctor practice is looking for an associate to join us this coming Summer. Competitive six figure salary with a bonus structure, health insurance, 401-k and vacation benefits. You must be personable. Surgical training is desired. Send resume to latifdpm@gmail.com
POSITION AVAILABLE – MARYLAND
Great opportunity to join a well-rounded, growing, podiatry practice in Maryland. We expect a physician with high integrity, and a passion for our brand. We strive for accuracy and consistency. We desire a physician centered on patient commitment. Cleanliness is a must. If you are an energetic, enthusiastic, and tenacious candidate with a cutting-edge knowledge base, email us your CV for more information. info@HLESfootcare.com
ASSOCIATE POSITION - FLEETWOOD, PENNSYLVANIA- SOUTHEASTERN PA
Suburban 3 office practice looking for a full-time, motivated, outgoing associate for immediate opening leading to possible partnership. Well trained surgically & board qualified/certified. Competitive salary, bonus, health insurance, and malpractice insurance. Email CV to Kathy.Geist@FleetwoodFootcare.com
ASSOCIATE POSITION WITH OPTION TO BUY – BRONX, NY
Full time or part time with option to purchase. Co-Op City, Bronx New York. Established in 1969. Full scope of podiatry. MUST PARTICIPATE IN INSURANCE PLANS. Pleasant office; great patients; Great opportunity. Call or text 914-772-3842 or email: Lwolstein@aol.com
GREAT OPPORTUNITY IN RURAL NORTH CAROLINA
20+ year old practice in North Carolina, all aspects of podiatry. Loyal patient following, physician referral base. EHR, staff in place. Low overhead. Great potential for any type of podiatrist. Will stay for transition if desired. 252-813-3136.
ASSOCIATE POSITION - NW FLORIDA/COASTAL ALABAMA
Busy, well-established practice, EHR, digital x-ray, diagnostic ultrasound. Offering competitive six-figure salary w/bonus structure, health/malpractice insurance, and PTO. PSR-36 required. Partnership path to motivated and compassionate associate. Must obtain Florida and Alabama licenses. Send CV: Brentmharwood@gmail.com
ASSOCIATE POSITION – MIAMI, FL
We are a growing practice in Miami, FL with three podiatrists working in 1 office and on staff at 3 hospitals. Attractive Salary Practice is equipped with certified EMR, digital x-ra, and laser. Send CV to JenniferRoselloDPM@gmail.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
ASSOCIATE POSITION - ALBUQUERQUE, NM
Foot & Ankle Specialists of New Mexico has an exciting position open for a board qualified or board-certified foot and ankle surgeon to start in the fall of 2021. You can view our website at footanklenm.com. Spanish speaking and Fellowship is a plus but not a requirement. Billing/coding experience is preferred. Compensation is a competitive salary plus a percentage bonus structure to start. Please email CV and cover letter to rrivera@footanklenm.com.
ASSOCIATE POSITION – KENTUCKY
Associate position available for a compassionate physician for busy, well-established office in beautiful Central Kentucky. Extensive range of services offered with ancillary services onsite and hospital surgical privileges available. Enormous potential for rapid growth. Generous salary with incentive/full benefits and partnership opportunity. Email CV and cover letter to: Kyfootdr@gmail.com
WOUND CARE FELLOWSHIP - NEW YORK
CPME APPROVED 12 month fellowship beginning July 1st, 2021. Hospital and clinic environment, with onsite hyperbaric medicine. Working with infectious disease, dermatology, as well as, general, vascular, and podiatric surgeons. Must have completed a PMSR residency. Please contact drarnoldhertz@aol.com or jtfootcare@gmail.com. EOE employer.
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
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| CLASSIFIED ADS - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
PRACTICE FOR SALE - SOUTHEASTERN VIRGINIA
Well established practice with sustained high income, great location. Diverse surgical and general practice with full hospital privileges available, Digital x-ray, ultrasound, DME program, EMR linked to National billing company. Willing to stay for transition. Email: officemail1@cox.net
PRACTICE FOR SALE - VAN NUYS, CALIFORNIA
Motivated Seller. General podiatric 53 year old practice for sale in Van Nuys California, next to hospital. Great growth potential. Will stay to help transition. Call Ron Miller at 310-980-1822 or email to remillerdpm@sbcglobal.net
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.
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.
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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
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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