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| PM News | |
The Voice of Podiatrists
Serving Over 15,772 Podiatrists Daily
February 18, 2014 #4,991  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2014- 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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In the past year, have you been asked to return money to insurance companies for procedures deemed investigational or experimental ? |
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| PODIATRISTS AND DIABETES | |
TX Podiatrist Discusses Diabetic Neuropathy
You can probably recall stepping on a pebble and shouting at the pain the tiny object caused your bare foot. Podiatrist Dr. Dwight Bates of Athens said diabetes can bring the inability to feel that pebble, which can lead to tragic results. Bates has been in the field for more than 30 years and sees podiatric patients each week at the Disciples Clinic in Athens. “Part of the problem is that it doesn’t hurt,” Bates said. “There are two types of neuropathy. One is a complete loss of pain. A rock in the shoe, fold in the sock, or bunion can rub a small hole in the skin like a dull knife will cut.” Another type of neuropathy causes some people to have spontaneous pain that is not protective. Some people have both at once. “How unfair is that?” Bates said. “You can’t feel your foot on fire, but you have spontaneous pain.”
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Dr. Dwight Bates |
Bates has amputated hundreds of toes in his career, and unfortunately has seen many patients whose foot or lower leg had to be removed, as well. According to the International Diabetes Foundation, someone dies from the disease and its complications every seven seconds. Someone has an amputation as a result of diabetes every 20 seconds. Bates said patients can help prevent those dire results with diligent self-examination. “The answer is to be aware that you’re at-risk,” Bates said. “One simple way is a Semmes-Weinstein filament. If a person can feel it, they probably have the ability to feel pain.”
Source: Rich Flowers, Athens Review [2/15/14]
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| PODIATRISTS AND FOOTWEAR | |
Women Basketball Coaches Need to Watch Heel Heights: NC Podiatrist
Wearing heels on the hard court is a style chosen by many female college coaches and those who lead high-school squads. But there can be dangers associated with high heels, says Dr. Jane E. Andersen, a podiatrist at Chapel Hill Foot and Ankle Associates in North Carolina, including foot problems like blisters and calluses. “They are in danger of spraining an ankle because they are moving up and down the sideline on the court,” Andersen says. “They also might be lunging forward and they can fall because the floor might be slippery from sweat. They also could injure their Achilles (tendons).” But, she adds, most are probably experienced wearing high heels and know what they are doing. “Most of them are or were good athletes, so they are in shape and can get away with it.”
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Dr. Jane Andersen |
There are shoes that are made to be worn for a short period of time versus others that can be worn longer, Andersen points out. “Coaches want to make sure they have shoes that are comfortable for the entire game time,” she says. “They might want to keep the heel height at 2 inches or less, make sure it is thicker and has a generous toe box area.”
Source: JoAnne Klimovich Harrop, Pittsburgh Tribune Review [2/15/14]
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| SUCCESS TIPS FROM THE MASTERS | |
Bret Ribotsky: Is setting up and maintaining social networking a task you should give to one of your staff members?
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Shawn McAskill |
Shawn McAskill: The short answer is No. You need to generate constant and significant new content and engage each follower. For example, let’s say you see a patient with a unique condition. So, you write a small article on your blog; you then tweet the headline. This generates discussion with your Facebook followers, and you have Google+ circles commenting on what they see. This way, each touch/exposure generates action and interrelates to the others. This is why you need a professional who understands how to work within the system. If you have someone who does not understand the (networking) rules, which change often, you can do yourself more harm than good.
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Dr. Albert Armstrong |
Meet the Masters airs live every Tuesday night. This week's guest will be Dr. Albert Armstrong, Interim Dean at Barry University College of Podiatric Medicine. You can register for this and future events by clicking here
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| QUERIES (CLINICAL) | |
Query: Jagged Appearance of Calcaneus in a 12 Year Old
This 12 year old slightly obese, but athletic boy presented with pain at the attachment of the peroneal brevis. Radiographically, the fifth metatarsal is unremarkable. The heel, however, has this jagged appearance. His mother stated that a few years ago, he complained of posterior heel pain that resolved.
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Jagged Appearance of Calcaneus in a 12 Year Old |
There is no current pain on palpation, ROM, or compression. All other history (family and patient) was unremarkable. Has any practitioner seen a similar heel presentation, and did it turn out normal with diagnostic procedures?
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| QUERIES (EMR) | |
Query EPIC EMR in an Office Setting
EPIC seems to be the leading EMR system used in the hospital setting. Are there any podiatry practices currently using EPIC EMR in an office situation? If so, what has your experience been?
William Nielson, DPM, Florence, KY
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| RESPONSES/COMMENTS (CLINICAL) - PART 1A | |
From: Gina A Teresi, DPM, Leo Krawetz, DPM
I had a similar case in a 40 year old male with palpable pulses. I sent him to vascular since nothing I did seemed to improve the wound. He had B/L aorta iliac stenosis requiring surgical intervention. Then he went on to heal. The increased demand for oxygen to heal the surgical wound was not met despite pedal pulses that were palpable. He was an active smoker at the time. Consider a vascular consult.
It is imperative to culture the wound because a low grade infection will delay healing. Start the patient on a broad spectrum antibiotic and consider hyperbaric oxygen therapy.
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| RESPONSES/COMMENTS (CLINICAL) - PART 1B | |
From: Gerald Mauriello Jr., DPM, Ed Davis, DPM
Excise the wound and close it. There are many ways this can be achieved. I’ve often "VACed" over the new closure, with fantastic results. The longer you fiddle with it, the greater the likelihood of infection and further complication.
Non-healing post-operative wounds can be a source of frustration for both the surgeon and the patient. Wound healing is the natural order of things, so failure to heal occurs when there are impediments to healing. Consider what the body needs to heal a wound, both locally and systemically, so that a systematic approach is used as opposed to "trying" various products and seeing what happens. I am not sure that an MRI will add a lot of information to this case.
Start with local factors and consider the condition of the wound. Are there foreign bodies that...
Editor's note: Dr. Davis' extended-length letter can be read here.
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| RESPONSES/COMMENTS (PM JURY VERDICT REPORTER) - PART 1A | |
From: Edwin J. Harris, DPM
I would like to respond to Drs. Silhanek and Steinberg on their recent comments regarding the posting of the results of a medical malpractice action in the State of New York in which I was expert for the plaintiff. I will state my case and I refuse to get involved in any ongoing debate
with them in this venue.
First, please do not malign Rosalind Franklin or the Dr. William M. Scholl College of Podiatric Medicine. I am a very part-time instructor with the lowest possible academic position, and I do not routinely use my affiliation as a professional credential.
Second, I would remind...
Editor's note: Dr. Harris' extended-length letter can be read here.
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| RESPONSES/COMMENTS (PM JURY VERDICT REPORTER) - PART 1B | |
From: Bryan C. Markinson, DPM, Alison D. Silhanek, DPM
An interpretation of the merits or lack of merit of a negligence case, or the ethical nature of any expert in such cases, SOLELY based on the snapshots reported in PM News is outrageous.
From what I have seen, Dr. Udell indeed is correct that gross negligence occurs, but it is rare. The gross negligence cases suggested by Dr. Udell are few and far between. Let us be honest here. Some podiatry school faculty are taking plaintiff's expert positions to pad their retirement accounts. It is morally bankrupt, our schools have done nothing to regulate it, and it needs to stop. And the only way to stop it is with repeated reminders to them that they are supporting morally bankrupt processes. If there was any way I could influence prospective students from those colleges which engage in this, I would. I hate to think that I am chasing at windmills here, but plaintiff and personal injury attorneys are part of what is wrong in the U.S., and I cannot help myself but try to fight the good fight.
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MEETING NOTICES - PART 1
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| RESPONSES/COMMENTS (PM JURY VERDICT REPORTER) - PART 1c | |
From: Michael M. Rosenblatt, DPM
Dr. Udell makes the point that some serious and egregious errors and malpractice does occur; and that these patients are entitled to a fair representation of their case in court. This usually requires expert testimony by a fellow professional in the same profession.
But the playing field is far from even. DPMs face certain opposition from practitioners who are in financial conflict with us. These allopathic professionals are concerned about financial issues as they relate to podiatry. The one area where we seem to have absolute parity is in our responsibility to patients and the reaction of the legal community to our work.
This financial opposition can result in medical doctors fomenting (frivolous) claims against podiatrists. At no point in our history as a profession have we ever had even close to the resources or power of allopathic medicine. For that reason alone, I think it is clear that those of us who have an opportunity to testify against fellow DPMs (including staff members at DPM colleges) have a responsibility to closely and carefully evaluate each case. Such testimony is highly profitable for the people who do it. But that is not an excuse to abuse that privilege.
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MEETING NOTICES - PART 2
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| CLASSIFIED ADS |
PRACTICES FOR SALE - WASHINGTON STATE
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PODIATRY OFFICE FOR RENT - STATEN ISLAND, NY
1000 square foot (approximate) office in large modern medical center. Good parking, public transportation, 36 years as a podiatry office. 5 exam rooms, business office, lab, reception room, bathroom, central air. Great layout. Designed for Podiatry/medical. Call 212 794 0089.
ASSOCIATE POSITION - CAPITAL DISTRICT (NY)
Associate position with option to purchase practice. Upstate NY, Capital District. Applicants require NYS podiatric license and Medicare # ,Board certified or qualified. Position available immediately. Salary negotiable. Send CV and inquiries to: Gopodiatry@gmail.com
ASSOCIATE POSITION – WISCONSIN
Experienced podiatric physician and surgeon seeking a motivated associate with the ability and drive to join a multi-faceted, exceptionally busy, and firmly established Midwestern practice located within driving distance of Chicago. Those who apply need be well-rounded yet humble and willing to provide all types of foot and ankle care, from diabetic and neuropathic treatments and biomechanical exams, to minor office procedures and complex surgical corrections. Please send your CV along with a cover letter describing your treatment style along with your desire to grow with a successful practice to Associatematch@yahoo.com.
ASSOCIATE POSITION – SW FLORIDA
Immediate position available in SW Florida. Podiatrist to join a small group. Must be Florida licensed, surgical privileges pending experience. Board Certification or Qualified preferred but not necessary. Some nursing home care and limited travel. Excellent pay and lifestyle. Send CV to: 1foot.ankle@GMail.com
ASSOCIATE POSITION - CALIFORNIA (SANTA CRUZ COUNTY)
The Foot Doctors of Santa Cruz County is a multi-office podiatric group looking for a self-motivated, committed podiatrist with a CA license. Offices are up-to-date with EMR, digital x-ray, and laser. Duties include all aspects of podiatry including wound care, surgical cases and nursing homes. There is great surgical growth potential. Must intend to reside locally. Send CV to: srfctysc@gmail.com
ASSOCIATE POSITION - KENTUCKY
Immediate opening for palliative/general podiatric care provider in established clinics, nursing home and assistive living settings in beautiful Southern Kentucky. Travel involved, but transportation provided along with ability to provide a wide range of clinical care including DME. Board certification not mandatory, but must be eligible for KY state license. Base salary with incredible bonus opportunity/full benefits. Join Kentucky’s largest and most respected podiatric group. Email CV and letter of interest to:jonkim12000@yahoo.com
ASSOCIATE POSITION – CHICAGO, IL
Podiatrist in Chicago. Independent, energetic Dr. needed to do house calls; schedule will be accommodated due to Dr.'s preferences; both full- and part-time will be considered. Send your inquiries to: dpms2@hotmail.com
ASSOCIATE POSITION - PUERTO RICO
Looking for a well-motivated surgically trained podiatrist for a 20 year-old hospital-based multi-office practice. WILL BE INTERVIEWING PERSONALLY AT 2014 ACFAS MEETING IN ORLANDO Candidate must be personable, ambitious, and knowledge of SPANISH language a must. Hospital surgical privileges available with heavy load of high-risk diabetic foot patients. This position leads to PARTNERSHIP, and eventually ownership. Offices located near San Juan Metro area nearbBeaches, great schools, and major shopping malls. Please send CV to medicopodiatra@aol.com.
ASSOCIATE POSITION - CENTRAL PA
Looking for an associate with strong surgical training. Personal and energetic a must. The physician will provide all aspects of podiatric practice, including sports medicine, wound care, and foot and ankle surgery. Competitive compensation package. Partnership opportunity for right person. To apply, please email, letter of intent and CV to premierfootpa@outlook.com
ASSOCIATE POSITION – OH
Join our thriving practice of 3 podiatrists in the fastest growing county in Ohio (Delaware located north of Columbus). We are looking for a motivated, personable, caring doctor with solid training who wants to work in a positive environment and enjoys our profession every day! Contactfootandanklewellnesscenter@gmail.com
HOUSE CALL OPPORTUNITY - CHICAGO, IL
Chicago-America’s Disabled, a not-for-profit medical group is looking for a podiatrist. You decide when you want to work and we will prepare your schedule. Competitive Compensation ($500-$1000 a day). Send CV todberliant@totalhealthcaregrp.com or call 773-774-7300.
ASSOCIATE POSITION – CHICAGO, IL
Podiatrist in Chicago. Independent, energetic Dr. needed to do house calls; schedule will be accommodated due to Dr.'s preferences; both full- and part-time will be considered. Send your inquiries to: dpms2@hotmail.com
ASSOCIATE POSITION - SOUTHEAST GEORGIA STATESBORO & SURROUNDING AREAS
Beautiful weather year round. Seeking experienced, Family-oriented, podiatrist looking to build a career & long-term relationship. Must be PSR-24/36 trained. Multiple locations. Full range of services with access to Surgical Center. Willing to live in a College town with rural settings. E-mail cover letter & CV to melissafoot@atlanticfeet.com.
ASSOCIATE POSITION - SOUTHERN MICHIGAN
Associate wanted for rapidly growing multi-physician practice. Salary plus incentive. Great opportunity for right person. Must have good work ethic and no ego. Send CV and contact information to:PaulaPMAC@me.com
ASSOCIATE POSITION - MISSOURI
Midwest practice opportunity for candidate with practice experience, PSR 24/36 trained, BQ/BC. Associateship leading to ownership. Surgical and general podiatric practice with high volume foot surgery, wound care and hospital affiliations. Email: stcpod@att.net
ASSOCIATE POSITION - UPSTATE NEW YORK
Mmulti-specialty, busy practice looking for highly motivated Podiatrist. Outstanding opportunity, excellent salary and benefits, working with three Podiatrists as well as residents, high volume of surgical cases, advance wound care, broad based referrals, and Electronic medical records. Opportunity for partnership. Please submit CV to associateinfoot@yahoo.com or fax 607-723-1567.
ASSOCIATE POSITION - TENNESSEE
Opportunity for fully credentialed podiatrist(s) needed to join or purchase a high-volume practice with enormous growth. Located on the largest medical center/hospital campus in East Tennessee. Please email CV, letter of intent, and references to PodiatryFootAnkle@gmail.com.
ASSOCIATE POSITION - NY (ROSLYN AND HUNTINGTON)
Join one of the largest podiatry groups on the East Coast. Well established and progressive offices, including EMR, digital x-ray, PVR and NCV studies, PinPointe laser, and Microvas therapy. For more info, www.GreatFootCare.com. Send resume to: Dr.Kassaris@yahoo.com.
PM News Classified Ads Reach over 15,500 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 15,500 DPMs. for details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at (800) 284-5451
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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.
| | 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.
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