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The Voice of Podiatrists
Serving Over 9,000 Podiatrists Daily
February 06, 2007 #2,803 Editor-Barry Block, DPM, JD
A service of Podiatry Management http://www.podiatrym.com E-mail us by hitting the reply key. COPYRIGHT 2007- No part of PM News can be reproduced without the express written permission of Kane Communications, Inc.
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PODIATRISTS IN THE NEWS |
TN Podiatrist Has Automated Reception Room
In one Signal Mountain doctor’s waiting room, clipboards and tedious paperwork are becoming a thing of the past. Podiatrist Robert Spalding of Area Podiatry Center recently installed a kiosk that allows customers to check in by themselves. The diminutive machine sitting on a table in the reception room automatically verifies patients’ insurance, determines co-pay and can even be used to upload medical records. "This is going to be the wave of the future," Dr. Spalding said.
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Dr. Robert Spalding |
The kiosk is the first of its kind in Tennessee, Dr. Spalding said. The service saves patients from having to fill out tedious forms and allows receptionists to bypass transcribing all that information into computers and placing daily calls to insurance companies. With just three other employees in his office and 25 to 30 patients a day, Dr. Spalding said the time saved with the kiosk is a huge benefit.
"If you don’t become more efficient, smaller (doctor’s) offices have the possibility of being overburdened by paperwork," he said. "This just gives you a better tool to work with." When patients enter the waiting room, instead of heading to the receptionist, they enter their name and insurance ID number into the kiosk. Within seconds, the kiosk pulls up all pertinent patient information, including the Health Insurance Portability and Accountability Act privacy form for e-signing. Everything is automatically uploaded into the local office’s system.
Source: Emily Bregel, Chattanooga Times Free Press [2/3/07]
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PODIATRISTS AND SPORTS MEDICINE |
CA Podiatrist Discusses Etiology of Tendinitis
Two major factors can lead to tendinitis, says Dr. Bob Baravarian, chief of podiatric surgery at the Santa Monica-UCLA Medical Center and director of the Foot and Ankle Institute of Santa Monica. One is abnormal motion of the foot, either rolling too far inward or outward. "This causes spasming of the Achilles as it tries it stabilize the foot," he says, "and that results in the tendon getting irritated from overuse."
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Dr. Bob Baravarian |
The other is changing something about your routine or shoes that would cause the Achilles to overstretch: upping your mileage too quickly, running hills instead of flat ground, running on sand instead of hard surfaces or going from a highly cushioned shoe to one with far less stability. "Those," he says, "can cause the tendon to become inflamed because it's overworked."
Baravarian says your first line of defense should be to see if any of these factors apply to you. If you're running a lot of hills, go back to flat ground and add inclines gradually. Try different shoes, especially if yours are old and worn.
Source: Jeannine Stein, Los Angeles Times [2/4/07]
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MEETING REPORTS |
7 Podiatrists Attend Largest-Ever Nail Disorders Conference
The Council for Nail Disorders held its annual scientific meeting on February 1, 2007, in association with the American Academy of Dermatology meeting in Washington, DC. This year's attendance was the highest ever, including seven podiatrists, which also is a record. Dr. Joel Morse, the current president of the American Society of Podiatric Dermatology attended as well. This organization is international in its reach and includes experts in nail diseases and nail surgery who share interesting cases. This year's subject matter was critical for podiatrists and offered concentrated expertise not available in any other venue. All DPMs with interest in nail pathology can visit the Council's website www.nailcouncil.org
Source: Bryan Markinson, DPM
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MEETINGS / COURSES
The 2007 Annual Cherry Blossom Dermatology Seminar will be held in Washington DC at Washington Hospital Center on the weekend of April 28 and 29th. The meeting is sponsored by the American Society of Podiatric Dermatology.
Highlights will include lectures by Richard Scher, MD past president of the American Academy of Dermatology, Elizabeth Dugan, MD head dermatopathologist of WHC Melanoma Center. We are also very excited that we have the top podiatrists to discuss everything dermatology. They include Dock Dockery DPM, Harvey Lemont, DPM, Warren Joseph, DPM, Mark Kosinski, DPM, and John Steinberg, DPM, Wayne Caputo, DPM and more! We also have lectures by Todd Perkins, MD, Yolanda Holmes, MD, Ben Lockshin, MD and dermatology coding by David Freedman, DPM .
For further information and registration contact Dr. Joel Morse at foxhallfoot@aol.com or call 202-966-4811. The ASPD website will be up shortly.
For a list of all meetings go to: www.podiatrym.com/meetings.pdf
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QUERIES |
Query: Achilles Rupture and Posterior Spur
I have a patient 65 y.o. active, healthy female with a non-painful non-debilitating complete rupture of the Achilles about 4 cm. prox. to insertion w/1.5 cm. retraction. She was injected by another doctor for a very painful posterior spur, which remains very painful to all closed shoe pressure. She does fine in a clog-style shoe. She wants surgery (primarily for the post-calcified Achilles insertion). The more prox. Achilles rupture is now a month old. Is there any problem repairing both at the same time, and which procedure should be done first. Does anyone advocate waiting for the rupture to heal at this point with casting and then delay just repairing the calcific tendon? Loren Miller, DPM, Saint Petersburg, FL
Query: PowerPoint Presentations
Is anyone aware of a resource for purchasing pre-made Powerpoint presentations. I am looking for one to include biomechanics and sports medicine for an annual meeting for athletic trainers.
Nicholas Varveris, DPM, Hilliard, OH
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New Stylish, Washable, Elastic Shoes
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Orthofeet is introducing attractive, elastic shoes that are designed for diabetic patients, who need extra protection, but do not want to compromise on appearance.
The new elastic shoes are designed with unique features:
- Non-binding elastic vamp provides a loose fit at the forefoot, and ease pressure on swollen feet, bunions and hammer-toes.
- Firm heel counter offers excellent rearfoot support and stability.
- Washable: The shoes are made of synthetic materials that can be washed in look warm water.
- Four widths, including Women's Extra-Extra-Wide and Men's Narrow.
- Competitive prices- Shoes: $4200; Prefab inserts: $895; Custom inserts: $2200
For more information call 800-524-2845 or visit our website: www.orthofeet.com
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RESPONSES / COMMENTS |
RE: Purple Toes on Dependency (Michael Warheit, DPM) From: Mike Boxer, DPM, Roody Samimi, TUSPM ‘07
Purple toes in a 16 year old are most likely due to acrocyanosis. In a 16 year old it is unlikely that she has cardiac disease (such as Eisenmenger's reaction) or pulmonary disease, but they should be ruled out. If there is no history of cardiac or pulmonary disease the best treatment is posterior tibial (sympathetic) nerve blocks and keeping the extremities warm. It is due to a functional vasomotor disturbance. You can also try topical applications of nitroglycerine paste (if it's still available) to the involved parts, but PT blocks work best together with keeping the feet warm. The problem will improve as the weather warms up.
Mike Boxer, DPM, Woodmere, NY, MCBDPM@aol.com
She could have a vascular malformation and maybe should have an MRI or ultrasound/Doppler, and follow up with interventional radiology for sclerotherapy or depending on what it is, another type of therapy.
Roody Samimi, TUSPM ‘07, roody.samimi@gmail.com
RE: Integrative Medicine (Bob Kornfeld, DPM) From: Eric D. Widen, DPM, DC
I am a podiatrist and also a chiropractor. I have been performing various alternative approaches to healthcare since 1987. In my studies and experiences, I have found some alternative therapies work great and others I would consider quackery. For example, I perform applied kinesiology (muscle testing and strengthening) combined with manipulation of the foot and spine and other articulations of the body. I have found this is incredibly effective, however without proper biomechanical foot function (sound podiatric principles), I do not think my treatments would be stable.
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Dr. Widen muscle testing a patient for low back pain. |
It is difficult to think out of the box. In school, we learn traditional approaches to treat patients. When something new comes along, which is against one’s reality, one can become defensive and closed-minded. I consider myself very open-minded, however I must admit I often become closed-minded when something (out of my box) comes along.
Eric D. Widen, DPM, DC, Marietta, GA chiropod@aol.com
Editor’s note: This topic is now closed.
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CODINGLINE CORNER
CURRENT TOPICS BEING DISCUSSED ON CODINGLINE'S LISTSERV INCLUDE:
o February CodinglinePRINT Available o Med Assistants Performing Palliative Care o Blue Shield of Minnesota Provider Denials o Confusion Over Mycotic Nails o E/M Examination Question
Codingline subscription information can be found at http://www.codingline.com/subscribe.htm
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CLASSIFIED ADS |
ASSOCIATE POSITION - SOUTH CENTRAL PENNSYLVANIA-PM & S 36
Large, busy podiatry group looking for associate interested in future partnership. Practice facilities and technologies include: Surgical Center, Physical Therapy Department, six appointment locations, EMR, MRI and Digital X-ray. Full compensation and benefit package offered. Mail CV to Martin Foot and Ankle, 1203 S. Queen St. York, PA 17403 or email business administrator, johnreitzel@comcast.net
ASSOCIATE WANTED - NORTH CAROLINA , CHARLOTTE AREA
Incredible opportunity to join a busy, well-established group practice. Looking for a self-motivated, hard-working individual seeking to become a partner. Hospital and surgery center privileges. Salary plus percentage, 401k and real estate opportunities. Send CV to universityoffice@ bellsouth.net
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
ASSOCIATE POSITION LEADING TO PARTNERSHIP - TAMPA BAY AREA-FLORIDA
Immediate position available in growing multi-office/multi-physician practice. Looking for a highly motivated psr24/36 trained podiatrist. Must be board qualified/board certified ABPS physician and be highly enthusiastic, motivated, with excellent patient/ social skills. Excellent benefit package including salary/bonus, health ins, paid time off, paid CME, and much more. Please e-mail CV to drdad94@aol.com or contact (727) 944-2522 for more information.
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
ASSOCIATE POSITION -MINNESOTA – PRIME MINNEAPOLIS SUBURB
Busy, well-established, full-scope podiatry practice, seeking highly motivated podiatrist for a full-time position with potential partnership opportunity. Looking for PSR 24+ individual. Excellent opportunity for long-term growth with unlimited income potential. E-mail CV to employment@associatedpodiatrists.com or fax to (612) 866-5875 Attn. Jennifer.
PRACTICE FOR SALE -NORTHERN CALIFORNIA
Great opportunity to own a well-established turn-key podiatry practice located in modern medical office building in East Bay; Electronic billing, good payor base, no HMO contracts; biomechanics, general podiatry with great potential for surgery. Please send CV and letter of interest to: norcalpod@hotmail.com
PRACTICE FOR SALE -BOSTON SUBURBS
Established practice for sale. Practice averages 18 – 22 patients per day. Currently all surgery is referred out. Opportunity to transition patient base to full service. Priced for sale. Contact dpminboston@comcast.net
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 – CENTRAL NEW JERSEY
Associate Wanted....For well established Central Jersey practice, diversified in all aspects of podiatric medicine and surgery. I am looking for a highly motivated, conscientious, individual with strong work ethhics. My practice may offer great potential for the right person. Minimum PSR 24. Please reply to Jerseypod@gmail.com
WEEKLY SPECIAL - One week of ads (5x) for only $75
PM Classified Ads Reach over 9,000 DPM's 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 9,000 DPM's. Write bblock@podiatrym.com or call (718) 897-9700 for details. Note: For commercial or display ads contact David Kagan at (800) 284-5451 dekagan@aol.com
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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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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
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