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PMNews
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| PM News | |
The Voice of Podiatrists
Serving Over 18,452 Subscribers Daily
February 14, 2019 #6,354  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2019- No part of PM News can be reproduced without the
written permission of Barry Block
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| PM NEWS QUICK POLL |
Quick Poll
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Is podiatry a surgical specialty or is surgery a sub-specialty of podiatry?
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| PODIATRISTS IN THE NEWS | |
Feet Need the Same TLC as Other Body Parts: NJ Podiatrist
“Most people spend a lot of time each day taking care of their face, skin, hair, and teeth, but feet often end up being overlooked when it comes to daily routines,” says Velimir Petkov, DPM, a board-certified podiatrist and resident doctor at Premier Podiatry. Though you might think that your feet can handle anything—the skin on your soles is quite literally the thickest skin you have, after all—your tootsies require as much TLC as any other body part, at least if you want to keep them healthy.
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Dr. Victor Petkov |
To keep your feet happy and healthy, Dr. Petkov recommends never wearing old footwear and never wearing high heels for an extended period of time. Additionally, the doctor suggests seeking the help of a professional as soon as you notice any pain or discoloration in your lower extremities. “Checking with a podiatrist in a timely manner allows for early diagnosis and easier treatment,” he explains.
Source: Morgam Greenwald, Best Life [2/7/19]
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| PODIATRISTS AND SPORTS MEDICINE | |
NY Podiatrist Discusses Running Shoes for Plantar Fasciitis
Plantar fasciitis is one of the most common triggers for heel pain, especially among runners. Regularly stretching is a good start, but you may also want to invest in a running sneaker that helps alleviate foot pain.
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Dr. Hillary Brenner |
It's generally smart to choose a heavier shoe, since lightweight sneakers don't deliver much support, says New York-based podiatrist Hillary Brenner, DPM. "You don’t want to bend the shoe in half like a burrito," she explains.
Source: Susan Brickell, Health [2/1/19]
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| MEDICARE UPDATE | |
How Medicare Changes in 2020 Will Impact Beneficiaries - Part 2
How Medicare Changes in 2020 Will Impact Beneficiaries
These changes will only impact beneficiaries who are not considered Medicare “eligible” until after 2020. As long as you turned 65 prior to January 1st, 2020, you can continue to enroll in these first-dollar coverage plans after they have been discontinued. They’re only being discontinued to those who are not considered Medicare eligible until AFTER 2020.
For those currently enrolled in a first-dollar coverage plan, you’ll be grandfathered in. You don’t need to make any changes to your coverage, unless you’re simply comparing benefits and/or rates to see if there’s a better plan for you.
Source: MedicareFAQ [2/11/19]
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| FROM PM's CURRENT ISSUE | |
Several times a week, PM News posts an entire article from a recent issue of our partner, Podiatry Management Magazine. Please note that the views expressed in Podiatry Management Magazine do not necessarily reflect the views of PM News or Barry Block.
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Today's Featured Article |
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| PRACTICE MANAGEMENT TIP OF THE DAY | |
5 Ways to Make this Your Best Year Yet - Part 5
Here are five steps to take to accomplish your goals.
5. Celebrate the wins. Remember to celebrate even the small victories. Each step forward matters. Look for wins that can keep you motivated on your journey. I ask you again: What do you want to do this year? Once you have your answer, go do it!
Source: Adapted from KrisEmily McCrory, MD, Physicians Practice [2/1/19]
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| CODINGLINE CORNER |
Query: I & D with Digital Amputation
I recently took a patient to surgery and performed an extensive incision and drainage of a subfascial abscess, as well as amputation of the right second toe at the metatarsal phalangeal joint. Can I bill for both? The second toe had to be removed secondary to wet gangrene, presumably from the abscess. I just wanted the opinions of others on this.
Kevin Davis, DPM, Springfield, TN
Response: I would not bill for both; the I&D portion would be included in the amputation. By removing the toe, you removed the site of infection.
Tony Poggio, DPM, Alameda, CA
For information on Codingline subscriptions, click here
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| QUERIES (CLINICAL) | |
Query: Pain 2nd MTPJ S/P Weil Osteotomy
A 61 year old female presented with pain at the dorsal lateral aspect of the left 2nd MTPJ, which has been increasingly symptomatic for the past 6 months. Direct palpation and attempts to dorsiflex the MTPJ exacerbate the condition. The patient is S/P a Weil osteotomy with arthrodesis of the left 2nd PIPJ 1-1/2 years ago.
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Pain 2nd MTPJ S/P Weil Osteotomy |
X-rays reveal arthritic changes with lateral subluxation of the left 2nd toe. I am considering a left 2nd proximal phalangeal base resection. I welcome any recommendations for treatment that may ensure the best possible outcome for the patient.
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| RESPONSES/COMMENTS (CLINICAL) | |
From: Bryan C. Markinson, DPM
Dr. Levy posted an alert regarding the utility of the ABCDE rule for ensuring a high index of suspicion for lesions that may be melanoma. The ABCDE mnemonic was developed in the early '80s as an aid for PATIENTS to self-evaluate lesions and bring them to the attention of the clinician. It proved to be so reliable that it was then taught at the medical school level and residency level for use by clinicians. The validity of the ABCDE rule is still strong, but it is not the whole story. There is one well referenced and important study published in December 2006 out of Australia by Wendy Liu, et al., Rate of Growth in Melanomas, Arch Dermatol/Vol 142. In this study, there were some very important findings regarding rapidly growing invasive melanoma, highlighted with the fact that in these cases, ABCDE may not apply. Specifically, rapidly growing invasive melanomas often demonstrate symmetry, regular borders, and amelanosis.
Additionally, they tended to be in patients with less nevi and freckles. These are all contrary to the accepted ABCDE features and may deflect the clinicians away from suspicion and cause them to inappropriately re-assure the patient. The authors point out that this in no way invalidates the ABCDE rule, but indeed these findings reinforce the skin biopsy as the gold standard in diagnosis, and should remind all clinicians, especially non-dermatologists that any initiation of therapy that does not provide rapid resolution should prompt a biopsy or a consultation.
Bryan C. Markinson, DPM, NY, NY
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| RESPONSES/COMMENTS (PM NEWS QUICK POLLS) | |
From: Dennis Shavelson, DPM
I predicted the separation in podiatry a decade or more ago. At my most recent inspection, the 3-year surgical resident logs many hundreds of surgical cases and only 50 biomechanical evaluations.
When I was an active ABPS foot and ankle surgeon, a bio evaluation and foot typing was the core of every initial examination, surgery or not. My orthotics, then and now, are custom cast, dispensed and monitored along with foot centering training with an end goal of reducing their need (weaning them away), before, during, or after a surgery. As there are more and more podiatrists better skilled than I am, I now dedicate myself to performance issues, prevention, and quality of life upgrading successfully interjecting procedures, prn with consultants.
My dilemma question is, does the surgically specialized DPM dispense custom orthotics and perform rehab or skilled maintenance of their patients? If they do, then they are not surgically specialized and if they don't, why aren't we cross-consulting within our profession for the benefit of our mutual patients and podiatry’s survival?
Dennis Shavelson, DPM, NY, NY
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| RESPONSES/COMMENTS (PM NEWS QUICK POLLS) - PART 2 | |
From: Michael S Krischer, DPM
Checking the online curriculum of Temple (formerly PCPM), they still do not list a course in psychiatry. Secondly, we did receive training in endocrinology, and the side-effects of steroidal and NSAID medications. Third your last statement... I agree with. I would need to have education and training regarding THC and cannaboids and pain management.
Fourth, I was merely responding to a posted question: “I am curious as to why almost 30% of respondents either said no or are unsure regarding being able to prescribe medical cannabis, when there is a plethora of data that supports its benefit for a myriad of conditions.”
Perhaps I was being naïve in assuming that someone actually wanted an answer as to why 30 percent of respondents said "no". And I have absolutely no problem with the 70 percent of the respondents who disagree. I respect the passion you have regarding the topic, but do not appreciate the snarkiness in your correspondence.
Michael S Krischer, DPM, Idabel, OK
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READY FOR 2019!!
The New, Revised, More Inclusive 2019 Podiatry Coding Manual
From Michael G. Warshaw, DPM, CPC
It is fully updated. It has been streamlined to allow for easier access and reference. It contains the most up to date information to aid in coding and billing for appropriate reimbursement and documentation to support what was billed. You will again see why so many podiatry offices across the country refer to this book as their “Bible” when it comes to billing, coding, and documentation.
Only $125 including shipping!!!
Available in Book and Flash Drive Formats
No credit card? No problem. Just mail a check or money order to:
Michael Warshaw, DPM, CPC, 2027 Bayside Ave, Mount Dora, FL 32757
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoes of the Day
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Perfect gift for Valentine's Day? |
Source: sneakernews.com
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MEETING NOTICES
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NEED CME CREDITS FAST?
PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME
You can Earn up to 50 Continuing Education Contact Hours (CECH) Online
Earn 15 CECH only $229 (less than $16 per CECH)
(Only $15 per credit) http://www.podiatrym.com/cme.cfm
All required credits can be taken online for AL, AK, AR, CA, CO, DE, HI, IN, KS, LA, MA, ME, MI, MI, MS, NV, NJ, NM, ND, OH, OR, RI, SC, SD, UT, VA, VT, WV, and WI
Partial required credits can be taken online for AZ, FL, GA, ID, KY, IL, ID, IA, MD, MN, MO, MT, NE, NH, NY, NC, OK, PA, PR, TN, TX, WA, and DC
Choose any or ALL from 25+ CECH Category-1 articles posted
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| CLASSIFIED ADS - ASSOCIATE POSITIONS AND FELLOWSHIPS |
ASSOCIATE POSITION - NASSAU COUNTY, NY
Busy practice seeking full time Podiatrist. Competitive salary. State of the art facility. Please email resume to: Medicalofficeinquiry@gmail.com or call: 516-902-1073.
ASSOCIATE POSITION - SOUTHERN CALIFORNIA
Very busy practice seeking a full-time, self-motivated and hard-working podiatry associate. Competitive salary and benefits offered. Please email CV to: podiatrists@icloud.com
ASSOCIATE POSITION - EASTERN SHORE of MD
Multiple office practice located on the Eastern Shore of MD near beaches. Seeking motivated, energetic individual to join our three existing physicians willing to start within 3-4 months. We are an expanding practice with focus on all aspects of Podiatric care. Offices equipped with ultrasound, digital imaging, 3-D scanners, onsite ambulatory surgery center and many other state of the art amenities. Excellent salary and benefits package. DPMemploy@gmail.com
IMMEDIATE OPENING AVAILABLE - PART TIME NEW YORK
Looking for a highly motivated podiatrist to treat patients in nursing homes in Dutchess and Westchester Counties, NY. New York podiatry License and malpractice insurance required. Send CV to slpodsurg@gmail.com
ASSOCIATE POSITION - NEW JERSEY
Position available with future opportunity in a 38 year old established practice. Seeking hard working, self-motivated individual to join my busy practice. All aspects of podiatry including surgery & woundcare. Position is currently available but will wait until July/August for right candidate. Competitive package. Please email CV to jerseypod@gmail.com
ASSOCIATE POSITION – KENTUCKY
Busy 2 office practice looking for energetic well trained associate. Unique opportunity for long term commitment!! Plenty of surgery to keep you busy. Residency program affiliated. Opportunity for wound care center. Wonderful location. Great place to raise a family. Very podiatry friendly community. Must take KY exam this spring. Send resume to poddoc2019@gmail.com
ASSOCIATE PODIATRIST WANTED – CALIFORNIA/SF EAST BAY
Join our growing multi-office practice, immediate opening. Must have great people skills, bedside manner, and positive demeanor. Must work well with staff and local medical community. Prefer private practice experience. California license required. Full or Part Time. Send CV and cover letter to: ebpod2008@gmail.com.
ASSOCIATE POSITION - ROCHESTER, NY
Rapidly growing podiatry practice in Rochester, NY has a job position for a full time podiatrist. Position will involve all aspects of podiatric medicine, orthotics, wound care, nursing homes, foot surgery etc. Preferred: Podiatrist with NYS License, Board Certified or Board Eligible, Send Cover Letter and CV to office@rocpod.com
ASSOCIATE POSITION – RICHMOND, VA
Achilles Foot and Ankle Center is looking to hire a DPM in Richmond, VA to work in our Ancillary Services Division working with LPN/MA in Senior Living Facilities in and around the Richmond area. Monday – Friday work week; Two weeks of vacation. 1099 contract position; Starting salary of $125,000 csaunders@achillesfootandankle.com.
FULL TIME/PART TIME MOBILE PODIATRIST NEEDED – MICHIGAN
Mobile podiatrist in Michigan wanted! We are a growing mobile practice seeing patients all over Michigan. We offer flexible hours, competative pay structure as well as opportunity to choose preferred locations. Supplies and travel expenses are included. Please contact semmapodiatry@gmail.com
ASSOCIATE POSITION – LAS VEGAS, NV
Are you looking for an opportunity where the sky is the limit? Are you interested in a bright future, then our long-standing, busy, and very reputable practice in exciting Las Vegas, Nevada might just be for you! Our practice is diversified and consist of, at risk foot care, sport injuries, trauma, biomechanics, and surgery. Candidate must be eager to work hard, ethical, and preferably surgically trained. Our mentors will provide the rest! Serious inquiries only. Please reply and send resume to nevadafas@gmail.com in order to set up an interview.
ASSOCIATE PODIATRY POSITION – MARYLAND
Very busy established practice looking for a full-time podiatrist. We are participating with three local hospitals. The ideal candidate will have strong clinical skills including ulcer care, diabetes, surgery and general foot care. Must have a strong office personality with the ability to maintain and attract patients. Must be willing to merge into an already established protocol-based office. Please send C/V and cover page to: marylandpodiatry@gmail.com
ASSOCIATE POSITION - NEW YORK/ADIRONDACKS
Position available in well-established 25+ yrs old practice. All phases of podiatry. Looking for an ethical, hard-working, easy-going individual. Buy-in opportunity after 2 years. Outdoor enthusiast's playground near Adirondack Mtns. and Lake Champlain. Please submit CV to platspod@gmail.com
IMMEDIATE ASSOCIATE POSITION – ST. LOUIS MO
Diverse and growing private practice in search of a reliable and professional associate to join our medical team. Some travel and shared call.Excellent referral and patient base. Compensation by salary plus bonus. Additional information by request. Email CV to info@mttinc.biz
ASSOCIATE POSITION – SOUTHEAST MICHIGAN
S.E. Michigan Podiatry Group practice with two locations seeking foot and ankle trained physician for July 2019. Diversified practice with mentoring in all facets of podiatry. Long term and buy-in arrangement preferred. Send CV and cover letter to michiganfootandankle@gmail.com
WOUND CARE FELLOWSHIP - NEW YORK
CPME-APPROVED 12 month fellowship beginning July 1st, 2019. Hospital and clinic environment, with onsite hyperbaric medicine. Working with infectious disease, dermatology, as well as general, vascular, and podiatric surgeons. Must have completed a PMSR residency. Please contact jtfootcare@gmail.com. EOE (equal opportunity employer)
PM NEWS CLASSIFIED ADS REACH OVER 18,000 DPMs AND STUDENTS
Whether you have used equipment to sell or are offering an associate position, PM News classified ads are the fastest, most-effective way of reaching over 16,500 subscribers. For details, click here or write to: bblock@prodigy.net or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at davidekagan@gmail.com or call (215) 808-0770
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| CLASSIFIED ADS - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
PRACTICE WANTED - NORTHEAST FLORIDA
I am looking to purchase a practice in Northeast Florida. I am well trained in forefoot/hindfoot reconstruction including total ankle replacement, trauma and diabetic limb salvage. Financially sound practice with potential for future growth is a must. Immediate or transitional buy-outs considered. Please e-mail ankleandfootse@gmail.com if interested.
PRACTICE FOR SALE – WESTERN WASHINGTON
Busy 30-Year established practice in Auburn, Washington in medical office building connected to MultiCare hospital. Practice scope included Clinic, hospital-based surgery, hospital consultations, and hospital wound care clinic encompassing forefoot, rearfoot, and ankle surgery. Will stay on 3 months during transition. Send resume to Dgusman@hotmail.com
PRACTICE FOR SALE - SYRACUSE NY
30 year old established practice FULLY furnished/equipped (turnkey). 850 sq feet. Great location in medical district. Over 4000 patient following; 1000 current. Grossed $220,000/yr on 3 days/week. Rental of space NOT INCLUDED. Asking $90,000 or best offer. Will send pics. Doctorsuzi7@aol.com
PRACTICE FOR SALE - SAN FRANCISCO AREA, CALIFORNIA
Established practice in the East Bay in highly visible medical building across from major hospital. All aspects of foot and ankle care including: digital x-ray, Pinpointe laser, MLS laser, EMR. Turn-key office. Seller retiring. Sale price based on equipment and furnishings. Excellent opportunity EastBaypodiatrypractice@gmail.com
PM NEWS CLASSIFIED ADS REACH OVER 18,000 DPMs AND STUDENTS
Whether you have used equipment to sell or are offering an associate position, PM News classified ads are the fastest, most-effective way of reaching over 16,500 subscribers. For details, click here or write to: bblock@prodigy.net or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at davidekagan@gmail.com or call (215) 808-0770
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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.
THIS MESSAGE IS INTENDED ONLY FOR THE USE OF THE INDIVIDUAL OR
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
employee or agent responsible for delivering the message to the
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
immediately notify me and you are hereby instructed to delete all
electronic copies and destroy all printed copies.
DISCLAIMER: Internet communications cannot be guaranteed to be
either timely or free of viruses.
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RE: (Topic)
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- Subscribers are reminded that they have an ethical obligation to disclose any potential conflicts of interest when commenting on any product, procedure, or service.
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