The Voice of Podiatrists

Serving Over 13,500 Podiatrists Daily

February 14, 2012 #4,384 Publisher-Barry Block, DPM, JD

A service of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2012- No part of PM News can be reproduced without the
express written permission of Kane Communications, Inc.

Parents Should Buy Shoes When Child Starts Walking: CT Podiatrist

For parents of young children, purchasing a fresh pair before the old ones even seem broken in can be a burden. But a child's foot can grow up to a half size every three months, which means staying on top of proper fit.

Dr. John McHugh

Dr. Jack McHugh, a podiatrist with McHugh and Associates, said parents should buy shoes once their child starts to walk. This can be done in a shoe store where the shoes can be fitted by a trained employee.

Source: Carrie MacMillan, Republican-American [2/12/12]

Achilles Master's Course by Western University a Success

This course began with a pre-event fireside chat on February 3 with a case work-up at PAMF Palo Alto Sports Medical Clinic. The next day consisted of lectures and a cadaver workshop covering percutaneous lengthening, open and percutaneous acute rupture repair, peritenolysis, endo and open gastroc recession, FHL and PB transfer for chronic Achilles rupture, and insertion repair  with anchors for Haglund's deformity . 

(L-R) Rich Bouche, DPM (Seattle, WA), Aksone Nouvong, DPM (Assistant Dean, Western Univ.), Prof. Nicola Maffulli, MD, PhD (London, UK) and Amol Saxena, DPM (Palo Alto, CA)

Each attendee received a cadaver to work on. The esteemed faculty for this sold out event consisted of Richard Bouche, DPM, Micola Maffulli, MD, PhD, and Amol Saxena, DPM.

NY Podiatrist Speaks To Rotary About "Diabesity"

Dr. Anthony T. Tuccio recently spoke to members of the Rotary Club of Jamestown. "Diabesity, the combination of obesity and diabetes, has become a major medical problem in the United States as well as around the world", said Tuccio. 

Dr. Anthony Tuccio

Tuccio graduacted from the Ohio College of Podiatric Medicine and completed his residency at Harrison Community Hospital, now St. Anne's Hospital, in Mt. Clemens, MI. He is on the staff of WCA Hospital and Warren General Hospital, where he serves in the hospitals' wound care clinics. .

Source: Jamestown Post-Journal [2/12/12]

Canadian Podiatrist Co-Founder of Exterior Skate Protection

Pretty much every kid who has laced ‘em up to play hockey has experienced that agonizing sensation of taking a shot off the ankle or foot. Now, working under the company name Exterior Skate Protection, Vernon’s Dr. Bruce Booth and Larry Jensen are making Shotblockers, using a polypropylene graphite material to ensure they are light (roughly 80 grams per skate) and have a low profile which doesn’t obstruct a player’s stride.

Dr. Bruce Booth

Shotblockers earned some notoriety a few seasons ago when former Vancouver Canucks’ forward Ryan Johnson, then one of the team’s best shot blockers, was recovering from a foot injury. Hockey Night in Canada’s Scott Oakes did a small on-air segment during a CBC broadcast, detailing how Johnson was using the product to protect his feet. “Johnson wore them for six or seven games, decided to take them off right before the playoffs and broke his foot again,” said Booth, a podiatrist who operates the Vernon Foot Clinic. 
 
Source: Graeme Corbett, Vernon Morning Star [2/12/12]

Query: Hyperhidrosis

A 14 y/o young woman with no other problems presented with an ongoing case of sweaty hands and feet. Her mother stated that she has suffered from this her whole life. The patient has tried many OTC products with little effect. The problem has brought her much anxiety, which further exacerbates the issue. She is currently changing her socks 3-4 times per day. She is also currently looking into surgical procedures to correct the issue. What options are available to me?

Mark Birmingham, DPM,  Glenview, IL

RE: Gouty Tophi, 3rd Digit (Charles Baik, DPM)
From: Multiple Respondents

Given the severity, I would seriously lean towards a hemiphalanx removal at the PIP joint. This should allow for quick recovery and keep the remainder toes in good alignment.

Dan Klein, DPM, Fort Smith, AR, toefixer@aol.com

I have performed many distal digital amputations for this condition. These patients have all been very happy.   

Neil A Burrell, DPM  Beaumont, TX, nburrell@gt.rr.com

I would look into Krystexxa. This is a new medication put out by Savient Pharmaceuticals. It is a unique anti-gout medication as it is the only one that will actually dissolve tophi. This medication is given by infusion therapy. Contact the company directly and ask them for the name of a doc (usually a rheumatologist) who is currently administering such therapy. While an amputation is certainly a plausible option - trying to save the toe is another option. If you should try the Krstexxa route, let us know how the patient fared.
 
Jeffrey Kass, DPM, Forest Hills, NY, jeffckass@aol.com

RE: Nail Dystrophy (Tip Sullivan, DPM)
From: David Hettinger, DPM, Barry Mullen, DPM

Generally, green color in the nails say Pseudomonas. If symptomatic, do a nail avulsion, and as the nail is growing back, have the patient apply Lotrimin Ultra bid. Odds are this will take care of the problem.
 
David Hettinger, DPM, Wheaton, IL, davidhett@msn.com

Given your patient's active lifestyle, hallux length, and symmetrical nail plate appearance, this seems like a classic case of "black toenail syndrome" from repetitive micro-trauma from ill-fitting aerobic shoes; in spite of your patient's assertion to the contrary.

I'd recommend re-checking your patient's shoe length and toe box taper, as one finger's breadth from the longest toe is generally accepted as proper fit. Egyptian foot types where the hallux is considerably longer than the lesser toes (your patient), active lifestyles, rapid stop and start, decelerating movements, and heel raises are typical mechanisms. Second toe involvement is common in "Morton's" foot types. Short shoes abrade the digit against the toe box; long shoes allow a piston effect. Providing a large foam toe sleeve after nail debridement helps avoid additional trauma to the nail plate.

In this case, the nail plates are...

Editor's note: Dr. Mullen's extended-length letter can be read here.

RE: The Use of Uloric vs. Allopurinol in the Management of Gout (Elliot Udell, DPM)
From: Jeffrey Kass, DPM

I respectfully disagree with part of Dr. Udell's second paragraph comments. The problem with re-examining Uloric or allopurinol in the treamtent options is that they are not supposed to be used in cases of acute gout attacks and can actually spur the attack. Colchicine was used as a preventitive and could also be used as a treatment. I do agree with Dr. Udell's first observation: shame on the FDA.
 
The public should be outraged. The problem is that patients don't actually understand what happened. I have many gout patients who complain of the expense and some who can't afford it. If the public actually knew what had occurred - collectively, possibly something could have been done. I wonder if arthritis associations and health plans like AARP ever voiced opposition to what had occurred.

 Jeffrey Kass, DPM, Forest Hills, NY, jeffckass@aol.com

RE: Disposing of Old X-Ray Machines (Neil H Hecht, DPM)
From: Al Musella, DPM

If the machines still work, perhaps you could donate them. When I was at the NY Clinical Conference, one of the students from NYCPM was asking for donations of supplies for them to bring to Mexico for a medical mission trip. See nycpm.edu/ipc/club.html for details. Or try a local clinic.
 
Al Musella, DPM, Hewlett, NY, Musella@aol.com

RE: Podiatric Physicians Practice Podiatric Medicine: RIP Podiatry (Leonard Levy, DPM)
From: Alan Sherman, DPM

I am a podiatrist and am proud to be one. And if it takes 50 more years to improve the reputation of that brand to the point where we are satisfied with our reputation, then let's all continue working on it Monday morning. I was raised to believe that you don't request or demand a reputation - you earn it and are granted it by others. Yes, don't be shy, show them what you do, show them what you got and the results you get...but you don't give yourself creds. You can apply for them, but they are given, not taken.

Leonard Levy has been an inspiration to me since I was a student at CCPM in 1977, and has been among our greatest ambassadors in the world of medicine. He has upped our reputation, not just by what he says, but by what he has done. I agree with him that we are physicians, we are surgeons, just as we are...

Editor's note: Dr. Sherman's extended-length letter can be read here.

RE: CA Podiatrist Discusses Plantar Fasciitis
From: Barry Mullen, DPM

If quoted accurately in the Ladies Home Journal, then it's quite disappointing to read a colleague in a professional leadership position comment, "high heels are not the evil doer" when discussing plantar fasciitis. That might induce women to maintain high heel wear on a consistent, long-term basis. Horrible for feet...great for business.

Hopefully, that comment was taken completely out of context and will eventually be retracted, or modified. While plantar fasciitis' biomechanical etiology is multi-factorial, how does anyone justify their denial/omission of gastrocnemius equinus as one of, if not the most notorious, devastating etiologies? In our professional capacity as foot clinicians, don't we...

Editor's note: Dr. Mullen's extended-length letter can be read here.

ASSOCIATE POSITION - SOUTHERN KENTUCKY

Available in beautiful southern Kentucky in progressive, multi-office practice with 6 providers. Excellent base salary, malpractice, full benefit package with 2-year track to partnership. Looking for someone that wants to grow with our practice, work hard and develop relationships with local hospitals and surrounding communities. Strong communication skills, bedside manner and willingness to learn a must. Narrow window for interviews: email CV and letter of interest before March 1: footdocky@gmail.com

ASSOCIATE POSITION - KANSAS CITY, MISSOURI

I'm not just looking for an associate. I am looking for a doctor who wants to build a highly successful career with a doctor who is as committed to their success as he is to his own. Go towww.YourFutureInPodiatry.com to find out about this opportunity.

ASSOCIATE POSITION - NEW YORK

WORK SMARTER NOT HARDER. Join a modern, well-established 42-year-old podiatric medical/surgical practice within a multi-specialty office. Located just 20 minutes from NYC. Must be responsible, compassionate, driven, and self-starter. Enjoy cross-referrals from other specialists and support of medical assistants, office managers, and medical billers with over 50 years combined experience. Utilize modern technology: state-of-the-art diagnostic ultrasonography, fluoroscopy, ESWT (machine is owned by practice), physical therapy, x-ray, circulation testing, NCV, and in-office operatory suite. Very strong and effective advertising/marketing program. No nursing homes, No HMOs, No Medicaid, No Medicare. Must be licensed for podiatry in New York. Send cover letter/CV to: linchpindpm@yahoo.com 

ASSOCIATE POSITION - CENTRAL NJ

Looking for a three-year surgically-trained associate who has entrepreneurial spirit. Partnership guaranteed within three years for the right person. Must be very outgoing and personable. Great opportunity for a person who is confident and a go getter. drwfoot@verizon.net

ASSOCIATE POSITIONS - MULTIPLE STATES

Podiatrist Needed in Missouri, Nebraska, Iowa, Minnesota, North Dakota, South Dakota, Ohio, Texas, Colorado, Oregon, Washington, Arizona, Massachusetts, Rhode Island, Wisconsin, Indiana, Oklahoma, Connecticut and Vermont. Expanding multi-state medical practice seeking podiatrists to service long-term care community residing in nursing homes and assisted living facilities. We offer an established patient base, scheduling, equipment allowance and cover travel expenses. Provide generous compensation, bonus opportunities, disability, health insurance benefits, malpractice coverage and flexible scheduling. Looking for a Podiatrist with excellent skills, able to provide expert and compassionate care to patients. Email CV to: careers@aggeus.org or call 773-770-0140 x300/x305. www.aggeus.org

ASSOCIATE POSITION - MARYLAND

Looking for 3rd associate. Must be personable, well trained and highly motivated. Great locations in Southern Maryland, including an Ambulatory Surgical Center. We currently have EHR, digital radiography, dispensing center and PADNet. Looking for immediate hire! Please send CV to: myfeetfeet@aol.com

ASSOCIATE POSITION – FLORIDA

Emerald Coast on the North Shore of the Gulf of Mexico, a well-established group practice with multi-offices, seeking an associate with opportunity for partnership for a PSR-24/36 Doctor well-trained in foot/ankle/diabetic problems/wound care/surgical and medical podiatric care, covering 3 area hospitals, NO nursing homes. e-mail letter of interest, CV, and references to basewedge@yahoo.com

PART-TIME PODIATRIST NEEDED - LOS ANGELES, CALIFORNIA

Busy podiatrist looking for assistance with patients located in facilities, homes, office, etc. Flexible hours, independence, and great compensation. If interested email CV to or call Terri at 323-353-8103.homefootcare@hotmail.com

ASSOCIATE POSITION – F/T MARYLAND

Looking for a bright, hard-working, personality plus, extremely well trained podiatrist with both top notch surgical and non-surgical skills. Remarkable opportunity with our busy practice. Excellent salary and benefits. Email CV and salary requirements to Marylandpodiatrist@live.com

ASSOCIATE POSITION - ARIZONA

Podiatrist to joint established practice in the Phoenix, Arizona area. Modern office utilizing EMR, Digital X-Ray, ultrasound, full DME, seeking entrepreneurial, ambitious individual who can provide excellent care and expand already existing patient base. Send CV to ArizonaFeet@gmail.com

PART-TIME PODIATRIST NEEDED - CAPE COD MASSACHUSETTS

Need assistance with busy office practice. Possible long-term position. Housing can be accommodated. Email interest to Lauren Boudreau, Clinical Manager at ltboudreau@gmail.com or call 1-508-648-7840

ASSOCIATE POSITION - UPSTATE NEW YORK

Outstanding Opportunity. Our medical surgical group is recruiting a well-trained licensed podiatric physician. Located in Beautiful upstate NY. Full hospital privileges, as well as working with two residency programs. Must be highly motivated and great with patients. Opportunity for growth. Competitive salary and benefit package. Please send CV to associateinfoot@yahoo.com

SOUTHEAST GEORGIA- SAVANNAH & SURROUNDING AREAS

Beautiful weather year round & near the Coast. Opportunity for Early Buy-in. Seeking podiatrist looking to build a career & long-term relationship. Either established practicing physician or new residency graduate. Must be PSR-24/36 trained. Multiple locations. Full range of services with new facilities. E-mail cover letter & CV to melissafoot@pol.net

PRACTICE FOR SALE - BALTIMORE, MARYLAND

Established 40+ year old well-rounded practice of both surgical and non-surgical care with special emphasis on sports medicine. Medicare and BS/private insurance base, no Medical assistance. Needs to transition to a confident well trained individual. Purchase can include building. Contact:podiatrypracticesale@gmail.com

EQUIPMENT FOR SALE 

Koven Doppler, Synthes Titanium Mini Frag screw set, Zimmer & Hall Micro 100 set (all 5 heads including wire driver), Two full major surgical instrument sets, miscellaneous surgical tools including osteotome set (curved & straight). All German stainless steel. Best offer. Retired due to illness. Call 586-675-4311 or 440-285-2827. Dr. Gary Docks.

EQUIPMENT FOR SALE

Cosman Radiofrequency Generator for Sale! Model RFG-1B Like New Condition. Comes with Manual, 17 Dispersive Electrodes, 2 CSK-R 10 Kits, 2 CSK-R 5 Kits, 11 CC RF Cannula 10cm/10mm/22G, 4 CC RF Cannula 10cm/5mm/22G, 1 - 5cm RF Cannula/22G (4mm Sharp Curved Tip), & 2 Replacement Fuses. Asking $10,500 OBO Please Contact: nffpbosk@gmail.com

EQUIPMENT FOR SALE - COOL BREEZE COOT TOUCH VARIA

Cool Breeze Coot Touch Varia. Very low use. You won't find a laser at this price. $39,500. Has about 19 hours of use of it. E-mail for photos, and ask any questions. Will go fast. David Zuckerman DPM  856-229-2939 footcare@comcast.net

EQUIPMENT FOR SALE - ARE YOU CONSIDERING A PADNET UNIT?

If so save thousands of dollars on a lightly used unit with venous option and laptop. Why pay full price for our unit which is in perfect working order. We also have a SIUI CTS 200 ultrasound with 7 mHz probe and SONY printer. Let's Make a Deal!! Call 516-220-8258 today.

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 516 476-1815 PODO2345@AOL.COM

PM News Classified Ads Reach over 13,500 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 13,500 DPM's. 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.