The Voice of Podiatrists

Serving Over 14,000 Podiatrists Daily

February 05, 2013 #4,683 Publisher-Barry Block, DPM, JD

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IL Podiatrist Joins Provena Saint Joseph Medical Center Staff

Provena Saint Joseph Medical Center in Joliet has welcomed eight new healthcare providers to the hospital's medical staff. Among the recent medical practitioners who will be joining the hospital staff Dr. Robert MacNab, a podiatric surgeon with Rezin Orthopedic Centers.

Dr. Robert McNab

Dr. MacNab graduated from Dr. William Scholl College of Podiatric Medicine in 1990 and completed his podiatric residency at Leyden Community Hospital, Northlake, IL and Columbus-Cabrini Hospital in Chicago. He is board certified in podiatric orthopedics and in foot surgery. He joined the Rezin Orthopedics and Sports Medicine team in 2001.

Source: Herald News (Joliet, IL)

NY Podiatrist Takes Icy Plunge for Make-A-Wish

Braving sub-freezing temperatures, Podiatrist Dr. Andrew Shapiro from Lido Beach, NY, took the plunge on Super Bowl Sunday into the frigid Atlantic ocean waves in Long Beach, N.Y. This was the 6th year in a row he did this for Make-A-Wish Foundation. Cheered on by Long Beach residents, who have been recovering from the aftermath of Super Storm Sandy, and battling an air temperature of 29 degrees, more than 5,000 people jumped into the Atlantic Ocean for the 16th annual Long Beach Polar Bear Club dip.

Dr. Andrew Shapiro

Organizers expect to raise over a half a million dollars from this event. The Super Bowl Sunday tradition started in 1998 with two friends who began collecting funds for Make-A-Wish Foundation to honor the memory of their friend's 4-year-old son, who died of cancer. To date, they've raised more than $3 million to grant wishes for kids with life-threatening medical conditions.

TX Podiatrists Prevail Against Hospital Which Tried to Restrict Ankle Privileges

Cory Brown, DPM and Martin V. Sloan, DPM were on the Hendrick Medical Center's medical staff. The medical center gave them notice that their podiatry privileges would be administratively reduced by eliminating all ankle privileges. The podiatrists sued and sought injunctive relief, and a temporary injunction was granted. The medical center filed a motion to dismiss under Tex. Civ. Prac. & Rem. Code Ann. § 74.351, but the trial court denied the motion. On appeal, the court affirmed.

For purposes of Tex. Civ. Prac. & Rem. Code Ann. § 74.001(a)(1), the claims of the podiatrists and the Texas Podiatric Medical Association did not involve treatment or care that was rendered to any patient. Instead, their claims related to a dispute with the medical center as to the scope of the podiatry practice. The elimination of ankle privileges was not an inseparable part of a patient's treatment of care, and thus the medical center's act of eliminating privileges was not directly related to healthcare. Quality of treatment was not at issue. The trial court therefore did not err in denying the medical center's motion to dismiss.

Source: Court of Appeals of Texas, Eleventh District

Complaints Against UK Podiatrists Orchestrated by Orthopaedic Surgeons

Orthopaedic surgeons claim they regularly have to repair disasters caused by podiatric surgeons. "There are two groups of podiatric surgeons, one of them is willing to work alongside orthopaedic surgeons in hospitals, and the other is not," says Anthony Sakellariou, spokesman for the British Orthopaedic Foot and Ankle Society. "All the problems I have seen come from this second group."

The Society of Chiropodists and Podiatrists insists the complaints about podiatrists are being orchestrated by orthopaedic surgeons anxious to protect their territory. Spokesman Ron Finlay said: "A small number of cases go wrong, whether conducted by podiatric surgeons or orthopaedic surgeons. It is not the case that podiatric surgeons are any less competent than orthopaedic surgeons when it comes to foot surgery."

Source: Lois Rogers, Daily Mail

Editor's Note: PM News is proud to present excerpts from Meet the Masters.

Bret Ribotsky: How do you get your patients compliant with their foot care?

Dr. James McGuire

James McGuire: What really seems to be the trigger for most of the patients is if they have had a “wake-up event.”  What is each patient’s wake up event? For some it’s a wound, for others it's an amputation.  Some just don’t get it. Maybe some psychology could help, and a few doctors at Temple are looking in to it.

Dr. Harry Goldsmith

Meet the Masters is broadcast each Tuesday night at 9 PM (EST). This week's guest is renowned coding and billing expert Dr. Harry Goldsmith . You can register for future events by clicking here

RE: The Passing of Richard P. Reinherz, DPM

I was saddened to hear of the passing of Rick Reinherz on January 29th. Rick succumbed to a long battle with cancer. Rick was one of my co-residents at Kern Hospital -1976-77. Rick contributed to our profession immensely. He served as Editor of The Journal of Foot & Ankle Surgery in the early '80s. May you rest in peace, my friend.

James E. Rogers, DPM, Nashville, TN

RE: Alternatives to Ester and Amide-type Anesthetics (John Doolan, DPM)
From: David Secord, DPM

If you decide to use Benadryl, you should be aware that it needs to be diluted with NSS at a ratio of 5:1. There is anecdotal evidence that using injectable Benadryl straight may cause skin necrosis (possibly massive). When used, Benadryl has the same onset and duration as Lidocaine. Another option is phenergan, which can be used straight and also has the same onset and duration as lidocaine.

One last option is benzyl alcohol. It can’t be purchased separately (unless you’d like a 50-gallon barrel of it), but it is commonly used as a preservative in NSS (in multi-draw bottles, as single-draw bottles/vials use no preservative). Benzyl alcohol also has about the same onset and duration as lidocaine and the volume of the block itself will cause anesthesia.

David Secord, DPM, Corpus Christi, TX, ledocdave@hotmail.com

RE: Diabetic Therapeutic Shoe Bill (David S. Chung, DPM)
From: Ed Davis, DPM

If my recollection is correct, coverage for diabetic shoes was instituted by an Act of Congress. It appears that current attempts to effectively deny that coverage via the application of unreasonable bureaucratic hurdles then violates that legislation. APMA really needs to show some resolve.

Ed Davis, DPM, San Antonio, TX, ed@sanantoniodoc.net

RE: Diabetic Therapeutic Shoe Bill (David S. Chung, DPM)
From: Mark K. Johnson, DPM

We have been doing the diabetic shoe  program since 2000. While it is not an easy road, it does provide a valuable service to patients who comply with it. Our audits increased to 30% of DM shoe cases last year. Most passed the first round, but, some required resubmission of documents to the next level of redetermination, which has a 40-60 day delay in payment. Our documentation is ethical, extensive, and fully compliant but some reviewers obviously or purposely don't see that. We submit a letter with a timeline and copies of EVERYTHING REQUESTED.

We find Dr. Josh White's Worry Free DME procurement system for the MD/DO documents helpful. You must have a certifying physician office note copy including DM diagnosis and treatment within 6 months of the DME dispense date in documents. A few doctors are sluggish or, rarely, unable to sign the Medicare required forms. So be it. We feel that the program benefits our diabetics who choose to comply with it. We monitor and document that as well. Cautiously optimistic, we accept that certain aspects of podiatry will continue to be challenging, and difficult but not insurmountable in the future. We hope.

Mark K. Johnson, DPM, West Plains, MO. DDR004@centurytel.net

RE: Medicare Quality Reporting Penalty Expected to Strike Most Physicians
From: Michael Forman, DPM

Is the Medicare Quality Reporting requirement mentioned in PM News for all podiatrists or just those with EMR?

Michael Forman, DPM, Cleveland, OH

Editor's response: PQRS applies to all physicians. Podiatrists may report quality measures (1) to CMS on their Medicare Part B claims, (2) to a qualified Physician Quality Reporting registry, or (3) to CMS via a qualified electronic health record (EHR) product, or 4) to a qualified Physician Quality Reporting data submission vendor.

Source: CMS

SPACE AVAILABLE - NYC & LI

Office to sublet and share - East 60th Manhattan, and Plainview, Long Island. access to an MRI, Joint Commission certified operating rooms, digital x-ray, diagnostic ultrasound, and access to a multi-specialty ambulatory surgical center. Also availability E 22nd between 2nd and 3rd and E 70th off 3rd. Turn-key operation - no investment needed PODO2345@AOL.COM 516-476-1815

EQUIPMENT FOR SALE - CUTERA GENESIS PLUS

Cutera Genesis Plus. 30 months old, low shot count, sku 022012a 1064 ND:YAG With new handpiece Dec.2011 for 1.5mm adapter go to www.thelasertrader.com Price is $35,000. Save over $29,000. Excellent Condition.

EQUIPMENT FOR SALE - USED PINPOINTE LASER

Used PinPointe Laser for sale! $16,500.00 Firm. Please send email to dman1hansen@gmail.com or call 801-870-4161

EQUIPMENT FOR SALE - USED Q-CLEAR LASER

Still under warranty. New laser head just added. First Best Offer. Marketing and training included. Dr. Zuckerman will train you. e-mail with questions to mook863@comcast.net

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

PRACTICE FOR SALE - MISSION VIEJO, CA

Relocating to Tulsa. Great opportunity to buy my office. Located at Mission Hospital. Gross income 2012 was $560,000. Approximately 1300sqft with 3 treatment rooms, digital x-ray and fully computerized. Will consider all offers. Call David at 949-702-1052 or david@missionviejofootcare.com

PRACTICE FOR SALE - MARYLAND

Established 1974 treating routine, diabetic, wound care, trauma, workman's comp and surgery. Attached accredited and certified surgery center. High volume with new patients with opportunity for expansion. Long established multiple primary care referral basis including University of Maryland health center. All financial information available. e-mail Msugar8364@aol.com.

PRACTICE FOR SALE - WEST PALM BEACH FLORIDA

Well established successful West Palm Beach practice grossing $ 475 with excellent reputation and good referral base. Consistent new patient growth, great opportunity with increased gross revenue and surgical growth potential. EHR implemented with meaningful use criteria met. Great area to live and work. Serious inquires E- mail wpbfootdrs@gmail.com

LOOKING TO COMBINE PRACTICES - MANHATTAN

Looking to add or combine a conservative podiatry practice with a DME license at my Wall Street and Upper East Side high tech locations. Opting out of Medicare to go totally cash. I turn away insurance patients every day. Serious, capitalized responders please. Dennis Shavelson DPM at drsha@lifestylepodiatry.com

ASSOCIATE POSITION - MISSOURI – EAST CENTRAL

Podiatric medical group seeks recent graduate or 2013 graduate who is interested in working with former residency director who can enhance your already strong training Full scope practice with the cases to fast track to board certification. We are located close to St. Louis for day use. Exceptional school system in a low crime, low cost of living area. E-mail resume to: drfootski@hotmail.comASSOCIATE POSITION - SOUTHWEST FL

R U a PM&S36 graduate looking for a bright future in podiatry BUT cannot be afraid to work hard to achieve. Complete from nail care to reconstructive ankle/leg trauma. Attitude + god complexes need not apply. Frames, nails, must be comfortable applying. Work hard for a bright future, our group can help you achieve. Send CV, and letter of intent to mny1029@gmail.com

ASSOCIATE POSITION - CENTRAL FLORIDA

Busy, well established practice in central Florida looking to fill an associate position leading to partnership for the right person. General and surgical podiatry, wound care. Close to attractions, short drive to beaches. Florida license necessary. Competitive pay with incentives. Please send CV to footpainbegone@Gmail.com.

ASSOCIATE POSITION - SOUTH CAROLINA

Upstate practice seeking PSR-24/36 trained associate. Full-time position with partnership opportunity. Plans include new office and EHR System. Hospital privileges. Near Hartwell Lake and the Blue Ridge Mountains. Please send CV to palpodiatry@att.net.

ASSOCIATE POSITION - MARYLAND

Join our 19-doctor group, with 13 locations, in MD and VA. EMR, digital x-rays, ultrasound, computerized scheduling, certified ambulatory surgical centers, hospital and physician referral base. Please send cover letter and resume to: newdpm@footandankle-usa.com. We look forward to hearing from you. We are www.footandankle-usa.com

ASSOCIATE POSITION – FENTON, MICHIGAN

Looking for a well-trained, entrepreneurial-minded podiatrist to add to a busy modern practice.(EHR, Digital x-ray, Diagnostic U.S., etc.) Looking for long term associate for growing practice. Please send CV with cover letter to Stephanie@FentonFootCare.com.

ASSOCIATE POSITION - NEW YORK

Established and modern podiatry practice seeking well trained podiatrist for our two offices located in the Hudson Valley. Individuals must be highly motivated, ethical, and have PM & S-36 training. Partnership potential! Please see our recruitment video (845) 471-2243, esims@simspodiatry.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 - COASTAL NORTH CAROLINA

Seeking a well-qualified PSR 24/36 trained podiatrist to join established practice with two locations. Individual must be motivated, ethical, and have great personal skills. Position may lead to partnership for right candidate. Please send CV to PodJobNC@gmail.com

PODIATRIC PHYSICIAN/SURGEON - CHICAGO AND SUBURBS

Chicago Podiatric Surgeons is searching for a full-time podiatric physician/surgeon. Prefer ABPS qualified/certified with experience in private practice. Great benefit package and partnership opportunities. Please send letter of interest, CV to dr.tcarr@gmail.com.

ASSOCIATE POSITION - DAYTON, OH

Join a well-established modern practice in Dayton, Ohio. Excellent reputation and referral base. Base salary $120,000, benefits and bonus structure. EMR, diagnostic ultrasound, Padnet vascular studies, CO2 lasers, all aspects of DME. We seek a surgeon that is well-trained and personable to join our group of 4 podiatric surgeons. Would like to have this individual buy in to the practice eventually. Please send CV and to Ohiodoctors@aol.com

ASSOCIATE POSITION - SOUTH CHICAGO SUBURBS

Busy two office, three-doctor practice seeking potential 4th doctor to join group. Hospital and surgery center affiliated. All aspects of podiatry. No nursing homes. Competitive salary and benefits Send resume to: carol.performance@sbcglobal.net

ASSOCIATE POSITION - ORANGE COUNTY, NY

Looking for a highly motivated surgical trained podiatrist in the Orange County, NY (West Point area). Hospital, wound center and surgical center affiliated. It is a busy practice that covers hospital inpatients, Wound Center, and takes ER call. The applicant has to be trained in all foot surgery and be able to handle advanced diabetic wound care. The practice is a 1 hour car ride from NYC and is close to hiking ,fishing ,skiing and state parks. Please Email a CV and contact info to clsp4@yahoo.com

ASSOCIATE POSITION - ST. LOUIS

Multi-location group practice seeks motivated DPM with initiative and leadership skills to contribute to expanding podiatry group. Must have the confidence to lead you own clinic and the willingness to draw on the expertise that exists within the group. Base salary starts at $100k, with incentives to grow income to $200k+, malpractice coverage, health insurance, 401k, and group bonus plan. Please send CV to stlpodgroup@gmail.com

ASSOCIATE POSITION - VA (SOUTH CENTRAL)

Thirty year established practice seeking associate. PSR 24/36 training, must be highly motivated, personable, ethical and willing to provide all aspects of podiatric care. Early partnership opportunity with potential ownership. Competitive salary and benefits. Excellent opportunity for a successful career. Please send CV to footcare2020@aol.com or fax to 804 733-5946.

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