|
|
|
|
.gif)
|
PMNews
Browse PMNews Issues
Previous Issue | Next Issue
| PM News | |
The Voice of Podiatrists
Serving Over 18,450 Subscribers Daily
February 15, 2019 #6,355  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
|
| EDITOR'S NOTE | |
Watch NJ Podiatrist on The Titan Games
 |
|
Dr. Brad Schaeffer |
PM News readers are reminded that Dr. Brad Schaeffer is scheduled to compete on The Titan Games on NBC TV on Thursday Night (Tonight). Check your local TV listings for time and station.
|
|
| PM NEWS QUICK POLL | |
Last Chance to Vote
Quick Poll
|
|
Is podiatry a surgical specialty or is surgery a sub-specialty of podiatry?
|
 |
|
|
| HOSPITAL PODIATRISTS IN THE NEWS | |
RI Podiatrist Named Chief of Podiatry at Our Lady of Fatima Hospital
Aaron Milam, DPM has been named Chief of the Division of Podiatry. He replaces Dr. Angelo Bigelli who served for 25 years as chief. A board certified podiatric surgeon, Milam joined the medical staff in 1998 and is associated with North Providence Foot & Ankle.
 |
|
Dr. Aaron Milam |
Dr. Milam is a graduate of Temple University School of Podiatric Medicine and Health Science and completed his podiatric orthopedic and podiatric surgical residency at West Roxbury Veteran Affairs Medical Center and the Providence Veterans Affairs Medical Center.
Source: The Valley Breeze [2/12/19]
|
|
| PODIATRISTS IN THE COMMUNITY | |
Essentia Health Welcomes MN Podiatrist
Travis Venner, DPM, a podiatrist, has joined the Podiatry Department at the Essentia Health-Duluth Clinic in Duluth, Minnesota.
 |
|
Dr. Travis Venner |
Dr. Venner earned a podiatric medicine degree from Des Moines University College of Osteopathic and Podiatric Medicine and Surgery in Des Moines, Iowa. He is Board certified by the American Board of Foot and Ankle Surgery.
Source: Duluth News Tribune [2/10/19]
|
|
| 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.
 |
|
Today's Featured Article |
|
|
| RESPONSES/COMMENTS (CLINICAL) - PART 1A | |
From: Jay Kaufman, DPM
1. Regarding the symptomatic 2nd MTPJ, I have had good success with tendon allograft interposition when few options remain. You only need a small section of tendon (about 5 cm long and 3-4 mm in diameter) and I usually use the gracilus or semitendinosus muscles.
2. You would remove the screw from the metatarsal head and then use a small rotary burr to fashion contiguous joint margins in a concave manner to accept the tendon graft. The tendon is sutured on the back table until you have a good sized graft (like marble). Once you place the graft in the joint, you would cross the joint with a percutaneous driven K-wire to place the toe in correct alignment (typically, only a slight over-correction in specific planes) and also to maintain the tendon graft from migration. The pin is removed in 3 weeks. The tendon adheres to the bone and the toe will typically remains in a better position due to fibrosis, and it will allow some motion.
3. The above is predicated on when the joint is opened, the amount of arthrosis is negligible, and the plantar plate cannot be repaired either primarily or through a flexor tendon transfer.
Jay Kaufman, DPM, Allentown, PA
|
|
| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1B | |
From: Tip Sullivan, DPM
For the immediate complaints--
1- Remove the screw in the second metatarsal and shorten the second met.
2- Repair the plantar plate. Remove the base of the second proximal phalanx only as the last resort. This foot is biomechanically unstable and you can bet that the second toe will not stay where you want it.
I would also discuss repair of the 1st MTPJ (the sesmoids are not in good position) as well as some soft tissue adjustment at the 3rd MTPJ. You need to follow this up with functional orthoses.
Tip Sullivan, DPM, Jackson, MS
|
|
| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1A | |
From: Ira Baum, DPM
Dr. Shavelson proposes a reasonable question, but I fail to understand its purpose. From the statistics from the 2019 CASPR Directory describing program offerings to podiatric medicine graduates, there is an overwhelmingly number of PMSR/RRA vs. PMSR. That indicates podiatry is or is becoming a surgical specialty. I don’t think that prescribing orthotics and performing rehab or skilled maintenance defines a podiatrist with surgery as a sub-specialty.
If, on the other hand, podiatry offered respected post-graduate residencies in other areas, for example podopediatrics, pododermatology, lower extremity manifestations of endocrine diseases, etc., maybe there could be a discussion, but that isn’t likely to occur. The real question is: if podiatry pigeonholes itself into a surgical specialty, why is it necessary? If podiatry remains on its current course, the AOFAS has an insurmountable advantage. If podiatry remains on its current course, will it survive? Should it survive?
Ira Baum, DPM, Miami, FL
|
|
| RESPONSES/COMMENTS (PM QUICK POLLS) - PART 1B | |
From: Don Peacock, DPM, MS
One of the most valuable examinations I use is Dr. Shavelson’s biomechanical exam and foot typing. if you've never had the opportunity to study his biomechanical exam, I would advise that you do so. The exam is not only amendable to orthotic fabrication but also vital in surgical evaluation.
I believe that our profession should not divide into sub-specialties. As podiatrists, we are already a sub-specialty. Most of our colleagues do some form of surgery, even if it's only a small part of their practice. Even if a podiatrist only does ingrown nails and warts and no bone surgery, s(he) is still doing surgery. A case could be made that ingrown nail surgery is one of the most risky things we do and requires surgical skill to properly manage.
I believe most podiatrists would rather choose to practice a combination of medical and surgical. I would define myself simply: I am a podiatrist.
Don Peacock, DPM MS, Whiteville, NC
|
|
| RESPONSES/COMMENTS (QUICK POLLS) - PART 2A | |
From: Elliot Udell, DPM
When I first entered private practice, a podiatrist who was ready to retire told me that podiatrists should not be allowed to do advanced surgical procedures because we were not trained to handle potential complications. He was referring to an arthroplasty of the fifth digit.
Dr. Krischer is correct. At this point in time, most of us are not trained in how to manage all of the complications associated with the use of medical marijuana, and Dr. Jacobs is correct when he points out that there are risks that we all had to learn about associated with the use of NSAIDs, corticosteroids, and other drugs. The old time practitioner who I met 35 years ago was also correct. He was not trained to do even minor surgical procedures. I suspect that if podiatrists gain the right to prescribe medical marijuana, our societies will offer courses on its risks and complications.
I feel compelled to add one more thing to this discussion. Based on the patients I see with CRPS who are already using medical marijuana, I don't think it will cure all of your patients who present with severe foot pain.
Elliot Udell, DPM, Hicksville, NY
|
|
| RESPONSES/COMMENTS (PM NEWS QUICK POLLS) - PART 2B | |
From: Brian Kiel, DPM
First of all, I think the terminology should be correct. Marijuana contains THC as its active ingredient and that is the one that affects certain conditions. It is available in multiple forms, some in conjunction with CBD. Using the word marijuana has some negative connotations which some find offensive. Secondly, for those who say we are not trained to use this, that is why we go to seminars - to learn.
There are many treatment modalities that we use today that were not used or available years ago, but we went to meetings and learned the appropriate way to utilize them in our practices. The use of THC/CBD is in the future as the opioid crisis continues and more and more ERs and hospitals reduce or even eliminate the use of opioids entirely. We need to educate ourselves now, not later.
Brian Kiel, DPM, Memphis, TN
|
|
| RESPONSES/COMMENTS (NEWS STORIES) | |
From: Robert M. Conenello, DPM
I do agree with Dr. Brenner when she advised patients to seek out the right sneaker if they are dealing with heel and arch pain. That being said, I feel a blanket statement about shoe weight or flexibility is antiquated. The AAPSM has worked very hard over the years to re-educate podiatrists about this subject. We have learned from world renowned biomechanists, such as Benno Nigg, that comfort is the most important factor when selecting footgear. Along with comfort comes metabolic efficiency which decreases pathology.
We also know that there is no perfect shoe or type of shoe! Each of us has our own individual movement pattern, like a fingerprint, and will respond best to the shoes that help us move better. I personally ALWAYS advocate that patients should wear the least possible shoe that they are comfortable with. The paradigm is that multi-density midsoles with high rearfoot to forefoot drop causes unnecessary weight to the shoe, which in turn negatively affects gait.
We have also learned from talented physical therapists like Jay Dichary that pathology is multifactorial and is usually due to functional imbalances and weaknesses that must be addressed. I urge all of you to practice evidence-based medicine that has been documented. The AAPSM annual meeting is a great place to come to share ideas and concepts and learn the most up-to-date philosophies in the sports medicine world.
Robert M. Conenello, DPM, Orangeburg, NY
|
|
| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
 |
|
Inspired by Cleopatra |
Source: Jane Hamer via Virtual Shoe Museum
|
|
MEETING NOTICES
|
|
|
|
|
| CLASSIFIED ADS - ASSOCIATE POSITIONS AND FELLOWSHIPS |
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 - 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
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
|
| CLASSIFIED ADS - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
PRACTICE FOR SALE - EAST CENTRAL ILLINOIS
30 year established surgical practice in rural East Central Illinois. Re-locating. Turn-key operation with 3 treatment rooms and surgical suite. Certified EHR. Generates $450K, asking $300K. Call 217-549-1887 or email drjoe@myfeethurt.net.
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
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.
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
|
| 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.
| | Guidelines |
- 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.
| |
|
Browse PMNews Issues
Previous Issue | Next Issue
|
| |
|
|
|
