The Voice of Podiatrists

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February 09, 2008 #3,163 Editor-Barry Block, DPM, JD

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OR Podiatrist’s Shoe Print Analysis is Blow to Prosecution in Murder Trial

Now, 23 years after Kathleen Marie Smith's murder — one of the highest-profile crimes in Tempe history — a footprint will loom large at the trial of her alleged killer, 47-year-old Robert Ortloff. A key piece of evidence is the fleeing man's "big foot." Witnesses Lisa Pickett and her grandmother directed authorities to this footprint, saying they saw the man make it in the wet flowerbed. It was if he'd stuck his hand into a freshly poured sidewalk at Grauman's Chinese Theatre in Hollywood.

Dr. John DiMaggio

In January 2006, Dr. John DiMaggio, a "forensic podiatrist" hired by the prosecution, took measurements of Robert Ortloff's feet at the Maricopa County Jail by court order. DiMaggio reported that Ortloff's shoe size is 12 1/2 to 13, which certainly qualifies as big. But, after analysis of the photograph in the flowerbed, the podiatrist concluded that the footprint had been made by size-9 1/2 Nike sneaker, maybe a 10.

That dealt a huge blow to the prosecution's case because it doesn't take an expert to explain what that means — it's not Ortloff's print. "If the size estimate is correct," DiMaggio wrote, "[Ortloff] could not have worn the shoe that made that scene shoe impression." O.J. Simpson's defense attorney , the late Johnnie Cochran, might have put it like this: "If the shoe don't fit . . . you must acquit."

Source: Paul Rubin, Phoenix New Times [2/7/08]

FL Podiatrist Receives Temple Gallery of Success Award

Temple University School of Podiatric Medicine has announced that Dr. Jose M. Concha was a recipient of the Temple University Gallery of Success Award. Born in Lima, Peru, Dr. Concha is a 1996 graduate of Temple University School of Podiatric Medicine and developed a unique way to treat fungus infections.

Dr. Jose M. Concha

During his post-graduate residency at The Medical Center of Delaware, Dr. Concha performed a standardized study which proved the efficacy of tea-tree oil against many pathological fungi. The studies won him various accolades, including a National Residency Research Award and the 1998 William J. Stickel Award. Concha extended the study and developed a useful product known as “FungaSoap.” This natural liquid soap is marketed nationwide and has proven to effectively help many patients with conditions related to topical fungal infections.

In addition to research and inventions, Dr. Concha participates in diabetic education and amputation prevention programs. He helped to form The Advanced Vein Center of North Florida which treats lower extremity venous pathology.

First Podiatric Surgeons Join Atlanta's Saint Joseph’s Hospital Staff

The first podiatric surgeons recently joined the surgical staff at Saint Joseph ’s Hospital in Atlanta. Michael McGlamry, DPM and Craig Camasta, DPM are both nationally-recognized authorities on foot and ankle reconstructive surgery.

Dr. Michael McGlamry

Dr. Michael McGlamry received his doctorate from the Pennsylvania College of Podiatric Medicine in 1991 where he graduated with honors. He completed his post-doctoral surgical training at Northlake Regional Medical Center in Tucker, GA. Dr. McGlamry obtained his B.S. in Biomedical Engineering from the University of Florida in 1987. He is a faculty member of The Podiatry Institute, an internationally recognized teaching foundation for reconstructive foot and ankle surgery headquartered in Atlanta.

Dr. Craig Camasta

Dr. Craig Camasta received his doctorate from the Pennsylvania College of Podiatric Medicine. Dr. Camasta completed a three year residency in podiatric medicine and surgery at Northlake Regional Medical Center in Tucker, GA. He furthered his training at Australian College of Surgical Podiatrists where he completed a fellowship in podiatric surgical teaching. Dr. Camasta has served as editor and contributing editor to numerous medical textbooks on reconstructive surgery for the foot, ankle and leg. He is a member of the teaching and research faculty for The Podiatry Institute.

Query: Recurring Metatarsal Fractures in Healthy Adult

I have a patient who is a healthy man in his early 50s, ideal body weight, no medical history, non- smoker, takes no medications. For the past 15 years or so he has had metatarsal fractures with increasing frequency. Now it happens about once a year. He has had at least one fracture of every lesser metatarsal (total fractures 12 - 15). They heal within the expected time when immobilized. Rigid custom orthoses and good stable shoes have not eliminated the problem. His feet are mechanically normal and stable except for mild rearfoot varus causing ankle instability (mild enough that orthotics with 2 degree everted posts stabilize him well.) There is no history of fractures anywhere else in the body. Bone densitometry is mid-range normal for age. He is undergoing agent orange testing at the VA by his own request, as he was exposed repeatedly in Vietnam. I would appreciate any ideas for investigating etiologies.

Jeffrey Bean, DPM Carson City, NV

Query: Peer Review References

Are there any credible references, texts, templates etc. to utilize when performing peer review?

Paul Kesselman, Woodside, NY

RE: Large-Sized Orthotic Sandals (John Hester, DPM)
From: Itamar Rosenbaum, C.Ped.

At Rosenbaum's in New York, you can have this made to order. They can
be reached at 718-236-7700

Itamar Rosenbaum, C.Ped., New York, NY, nycped@verizon.net

RE: Tetanus Coding (Elliot Udell, DPM)
From: Lee Rogers, DPM

The tetanus toxoid vaccine is supplied in a number of preparations, but the Td is the most widely available (little "d" meaning that the adult diphtheria booster dose is less than the dose given as a child in the TD vaccine). The Advisory Committee on Immunization Practices (ACIP) of the CDC recommends adults are immunized with the Td vaccine every 10 years, or every 5 if a tetanus-prone wound presents (see Table 1). Furthermore, diphtheria could be a podiatric problem. There is a rare form called cutaneous diphtheria, causing skin ulcerations. Long-term diphtheria toxins can cause peripheral neuropathy. Given that the CDC recommends this vaccine for tetanus prophylaxis, I think we're well within our scope when using the Td.

(Table from: Rogers LC, Frykberg RG. Tetanus prophylaxis in diabetic foot wounds. Clin Pod Med Surg 2006;23:769-775)

Lee Rogers, DPM, Des Moines, IA, lee.c.rogers@gmail.com

ASSOCIATE POSITION - NORTHWEST PENNSYLVANIA

Multi-specialty group is looking to add another Podiatric Surgeon or General Podiatrist to our well-established group. Office locations in northwestern Pennsylvania. Unlimited opportunities exist for the right Associate, wound care experience is a plus. Please forward your CV to adminsec@ips-mso.com

ASSOCIATE POSITION - VIRGINIA (NORTHERN)

Excellent opportunity to join a multi-office practice. In search of a well-trained, hard-working, ethical podiatrist to take this well established full scope practice to the next level. Competitive salary and benefits package. Looking for a long-term relationship with potential for partnership. Reply to: footdocva@cox.net

OFFICE TO SUBLET – SUFFOLK COUNTY, NY

Podiatrist needed in busy medical office building, sublet space Tuesdays, Thursdays and Saturdays. 1,000 square feet. Electric, garbage, taxes, all inclusive fully furnished, absolutely beautiful three treatment rooms, complete waiting room and consultation room. Asking $1,200, call (631) 981-1334 or Fax: (631) 981-6766. Building has internist, psychologist and chiropractor.

EQUIPMENT FOR SALE - BIDIRECTIONAL DOPPLER

KOVEN SMART-DOP 45 Performs arterial & venous studies on its LCD screen or on a computer (software included). Unit & accessories in excellent condition. Unit is 1 year old and has been used about 3 times. Asking $2,800. New unit is $5,000. Doppler specifications: http://www.koven.com/products/SD45.pdf Email nefootandankle@optonline.net

PRACTICE FOR SALE – PHILADELPHIA, PA

Six year-old well established practice averaging 300K over the past three years. Suitable for surgical podiatrist. Large referral base and surgical care. I am looking to relocate. I will stay during transitional period. Excellent Philadelphia location. Practice is still growing, allowing instant and increasing income. Hospital and Surgical Center privileges. Equipment included. Fax 215-665-9242 for details.

SEEKING ASSOCIATE WITH POTENTIAL TO FULL PARTNER

Busy multi-physician podiatric group with 2 locations seeking BQ/BC surgically trained doctor. Applicant should be well-trained in all aspects of surgical and conservative care. Seeking ethical, hard working and outgoing physician to join our 4-physician group. Excellent quality of life in suburban Houston, near NASA and the Gulf of Mexico. Email CV and cover letter to Dr. M. Rockett at Mrockettman@comcast.net

ASSOCIATE POSITION – NAPLES, FLORIDA

Great opportunity for PSR- 24/36 BE/BC podiatrist with strong surgical skills to join multi-office practice. Hospital privileges available at 648 bed hospital system, 200 bed hospital system and multiple surgical centers. Candidate should have the skills and desire to perform rearfoot surgery including Charcot reconstruction and ankle surgery. Florida has a great scope of practice law and we rotate for ER call at all 4 hospitals. Candidate needs to be ethical and motivated. Established practitioner or new practitioner OK. Base salary, percentage, benefits including 401K. Fax CV to (239)566-8778 or Email CV to Drgordon@gulfcoastfootcare.com

PRACTICE FOR SALE - WEST CENTRAL FLORIDA

Twenty year old mobile podiatry practice. Retiring. Alf’s, nursing homes, and Independent living facilities. Excellent location and growth Opportunity. Willing to stay on and introduce new doctor to patients and administrators. Great opportunity for a new graduate. Please contact me at footdoctor87@yahoo.com

PODIATRISTS NEEDED - CHICAGO --NORTHWEST INDIANA

Home Physicians, a medical group specializing in house calls is looking to hire podiatrists. We are located in Chicago and Northwest Indiana. Full and part time positions are available. Competitive Compensation including malpractice. Contact Scott Schneider. Phone-773-342-4201 FAX 773-486-3548-E-Mail sschneider@homephysicians.com -- www.homephysicians.com

PODIATRIC CONSULTANT AVAILABLE

Board-certified podiatrist with over 25 years experience available on a consultant or educational basis for health-related agency or corporation. To receive a copy of my resume, e-mail havbil@gmail.com

ASSOCIATE WANTED – NEW YORK IMMEDIATE OPENING

Busy multi-dimensional practice; 70 miles north of New York City . Currently five (5)-doctor practice. looking to expand – all phases of podiatric medicine. contact: (845) 454-8308 EXT: 106

MEDICAL SPACE FOR RENT OR SALE - NEW YORK CITY

305 Second Avenue (17-18th Sts), 3 Treatment rooms, Private office, Lab, Separate Receptionist/Business area, waiting room, bathroom w/ stall shower Deluxe/Landmark/Prime Building and Location, 24/7 security. Multi-specialty condominiums originally designed specifically for podiatry has also been upgraded for dentistry. For further details contact Laura Dobrusin, Ny2azld@aol.com or jdobr@arizonamed.com 480-951-2480 602-980-8457.

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

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