The Voice of Podiatrists

Serving Over 14,000 Podiatrists Daily

February 06, 2013 #4,684 Publisher-Barry Block, DPM, JD

A service of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2013- No part of PM News can be reproduced without the
express written permission of Kane Communications, Inc.

Biggest Problem is That Runners Do Too Much, Too Fast: CA Podiatrist

"The biggest problem is, runners try to do too much too fast," says Dr. Gennady Kolodenker, an Irvine, CA-based podiatrist who treats many athletes, from elite to weekend warriors. "If somebody wants to start running for exercise, you really don't need to do it more than 20-30 minutes a day, two to three times a week. If they enjoy running, then they can build up the miles."

Dr. Gennady Kolodenker

Kolodenker says it's more important to stretch after a run than before, "though a good warm-up is important." Walk for 10 minutes, then work your way up to a slow jog.

Source:  Landon Hall, Winnepeg Free Press [2/4/13]

MI Podiatrist Invites Patients to Annual Patient Appreciation Dinner

When was the last time you were invited to dinner by your physician? If you are a patient at any of the Hosey Foot and Ankle Centers in Macomb County, you receive an invitation every year from Dr. Thomas Hosey to his Patient Appreciation Dinner. Every year, Dr. Hosey introduces his wife, Mary Ann Hosey, and the other physicians at the practice, Dr. Jennifer Somers and Dr. Ryan Murphy. Dr. Hosey also makes a point to introduce every member of the support staff ranging from the medical assistants to the receptionists.

Dr. Thomas Hosey

"I think it's important that our patients meet everyone who contributes to the success of Hosey Foot and Ankle Centers," Hosey said. "Our physicians, of course, have their special medical relationships with their patients. Our Patient Appreciation Dinner gives our patients the opportunity to also meet some of our staff they might not otherwise ever meet, such as those employees who work in billing or on insurance."

Source: The Macomb Daily [2/4/13]

Alleged Lack of Informed Consent and Causing of DVT
 
Facts: A 62 year-old male plaintiff suffering from gout in his right foot's great toe, claimed he was not properly informed that his surgeon intended to perform a fusion procedure or of the risks of that procedure. He also claimed that the fusion procedure was done incorrectly, causing him to suffer a deep vein thrombosis. The plaintiff required ten months of treatment and rehabilitation in a nursing home following the fusion procedure and suffers limitations and deformity.

Result: Defendant's verdict ($0)

Defendant's expert witness: Michael Trepal, DPM, NY, NY
Plaintiff's expert witness: Ovidio Joseph Falcone, DPM, Astoria, NY

Source: LexisNexis

HIPAA Gets Tougher on Physicians

A revised set of federal privacy rules is expected to have a significant impact on the way physicians run their practices. Revised privacy notices will need to be displayed in prominent areas of doctors’ offices and on practices’ websites. Patients will be able to ask for copies of their electronic health records or restrict the information given to health plans if they self-pay for services. And perhaps most important, practices might be subject to serious fines if any of their business associates cause security breaches.

Under the new privacy rules, doctors now must assume the worst-case scenario in the event of a possible privacy breach. Previous regulations had required a practice to notify affected patients and the federal government only if it determined that a breach involving patient records had occurred and that it carried a significant risk of financial or reputational harm to patients.

Source: Jennifer Lubell, amednews [2/4/13]

Make Your Feedback a Non-Personal Criticism of Behavior

Add context to the feedback you deliver to a team member. In addition to explaining how to improve a behavior, explain why doing so is important to your practice's results. That frames the conversation as being for the good of the practice, instead of personal criticism.

Source: Adapted from “A Checklist for Effective Feedback Discussions,” Management Excellence by Art Petty via Communication Briefings

Query: Alternative to Hydrisonol Lotion Pump

Now that the Hydrisonol Lotion Pump has been discontinued, what are the best alternatives to dispense for dry skin?

Michael Forman, DPM, Cleveland, OH

Query: Nail Debridement Trimming

My patient is a non-insulin dependent diabetic with 2 painful mycotic hallux nails debrided, and the 8 remaining nails trimmed. The patient meets qualification for the "Q8" modifier. How would you bill CPT 11720 and CPT 11719 with a "Q8" modifier?

Kathy Hirth, McMurray, PA

Response: 1. ICD-9 250.7x (diabetes; peripheral vascular disease)
2 .ICD-9 110.1 (onychomycosis)
3. ICD-9 703.9 (unspecified disease of nail)
CPT 11719-Q8 (linked to 1,3 above)
CPT 11720-Q8-59 (linked to 1,2 above)

Be sure to include the attending PCP and date patient was last seen.

Lawrence Horn, DPM, Ridgecrest, CA

Codingline subscription information can be found here

APMA Members: Click here for your free Codingline Silver subscription

RE: Alternative Local Anesthetics (Joe Borden, DPM)
From: Paul Kruper, DPM
 
I would advise against using Benadryl, phenergan, or benzyl alcohol as local anesthetics. I know of one DPM who tried undiluted benadryl as a local and the patient's toe was amputated secondary to necrosis. Without significant evidence of safety and effectiveness, I would never experiment with these drugs as local anesthetics.

Paul Kruper, DPM, Kingsburg, CA, prkruper@yahoo.com

RE: Diabetic Therapeutic Shoe Bill (Dale Feinberg, DPM, CPed)
From: Michael Hames, DPM

With all due respect to Dr. Feinberg's comment to young practitioners giving up on DME, I vehemently disagree. I am a solo practicioner who generates 130 thousand dollars a year from all of the various forms of DME within our scope of practice. This revenue not only helps the practice to thrive, but also gives my patients improved outcomes from compliance and directed treatment protocols.

With the proper documentation, as you would find in an operative report, all hurdles can be overcome with due diligence. DME makes up 13% of my practice. I would gladly help any of my colleagues with issues regarding DME or refer them to the Codingline listserv.
 
Michael Hames, DPM, Florence, AL, hamesfootclinic@yahoo.com

RE: The Passing of Richard P. Reinherz, DPM

I was informed of the death of Richard on January 29th. I was shocked by this as he was still a very active man with a wonderful practice and family, taken by illness far too young. I knew Richard best during my surgical residency at American International Hospital in Zion, IL (1988) as he was the acting residency director at that time. He was also the editor of the Journal of Foot Surgery for many years. While we hadn't spoken in some time, I will miss him, and I will always remember how he helped educate me as a young podiatrist.

Bruce Krell, DPM, Chandler, AZ

RE: Changing Office Hours (Lloyd Nesbitt, DPM)
From: Martin R. Taubman, DPM, MBA

I find the discourse regarding changing and/or decreasing office hours quite interesting. I recently engaged in a conversation with a radiologist, and she explained that she took Mondays off. She stated that many people took Fridays off, but few people took Mondays.  She proclaimed that Mondays were best because they prolonged the weekend, stores were less crowded, and as a golfer, she found the links easier to navigate. That was food-for-thought. Of course a radiologist may not have the same practice constraints as a podiatrist. But I wonder if the patient that has to get in on Friday to prevent a weekend disaster would be the same patient that would wait until Monday to call to be seen.

Martin R. Taubman, DPM, MBA, San Diego, CA, mtaubman@san.rr.com

ASSOCIATE POSITIONS - TX, PA, and IL

Looking for podiatrists to see patients in nursing facilities in Texas, Pennsylvania, and Illinois. Please contact me at doconcall02@aol.com.

ASSOCIATE POSITION - SOUTH/CENTRAL PENNSYLVANIA

PSR-24/36 trained individual for busy practice in family-friendly college town. Seeking personable, ethical, motivated individual to join our well established practice providing all aspects of podiatric care. Competitive salary and benefits package with partnership opportunity. Reply with letter, CV and photo  to:  Jagerone@aol.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.

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.com

ASSOCIATE 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 - 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

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

PM News Classified Ads Reach over 14,000 DPMs 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 14,000 DPMs. Write to:bblock@podiatrym.com or call (718) 897-9700 for details. Weekly ad rates start as low as $115 for a 50-word ad. THIS OFFER DOES NOT APPLY TO BUSINESSES PROVIDING PRODUCTS OR SERVICES. Note: For commercial or display ads contact David Kagan at (800) 284-5451.

• To Post a message, send it to:    bblock@podiatrym.com
• Notes should be original and may not be submitted to other publications or listservs without our express written permission.
• Notes must be in the following form:
  RE: (Topic)
  From: (your name, DPM)
  Body of letter. Be concise. Limit to 250 words or less). Use Spellchecker
  Your name, DPM City/State
• Subscribers are reminded that they have an ethical obligation to disclose any potential conflicts of interest when commenting on any product, procedure, or service.