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PMNews
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PM News |
The Voice of Podiatrists
Serving Over 18,452 Subscribers Daily
February 18, 2019 #6,356 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 RESULTS |
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Results of last week's poll |
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PM NEWS QUICK POLL |
Quick Poll
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How long was (or is) your residency training?
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ACFAS NEWS |
ACFAS Members Elect New Board of Directors
The American College of Foot and Ankle Surgeons (ACFAS), a national surgical association of over 7,600 foot and ankle surgeons announced its 2019-2020 Board of Directors. The new board was installed February 15, 2019 at the annual business meeting conducted at the ACFAS Annual Scientific Conference in New Orleans.
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Dr. Christopher Reeves |
President: Christopher L. Reeves, DPM, MS, FACFAS
President-Elect: Scott C. Nelson, DPM, FACFAS
Secretary-Treasurer: Thanh L. Dinh, DPM, FACFAS
Immediate Past-President: John S. Steinberg, DPM, FACFAS
Directors: Eric A. Barp, DPM FACFAS, Brian B. Carpenter, DPM, FACFAS, Michael J. Cornelison, DPM, FACFAS, Meagan M. Jennings, DPM, FACFAS, George T. Liu, DPM, FACFAS, Harry P. Schneider, DPM, FACFAS, and Randal L. Wraalstad, DPM, FACFAS.
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PODIATRISTS AND HUMANITARIAN EFFORTS |
PBCPMA Supports Local Residency Program Mission Trip
The Palm Beach County Podiatric Medical Association (PBCPMA) made a $2,000 donation to The LEO Foundation, a non-profit organization dedicated to providing podiatric care to under-represented populations. Lower Extremity Outreach (LEO) was started by second-year podiatric medicine and surgery residents Drs. Rusheena Bartlett and Aly Slater.
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Back row: (L-R) Drs. Aldo Gonzalez, Brad Mattison, Greg Boco, Mark Hall, Alan MacGIll. Front row: Drs. Rusheena Bartlett and Aly Slater. |
The group will embark on their first mission to Montego Bay, Jamaica in March of 2019 to provide screenings, basic foot care, and education to the under-served people on the island. This generous financial contribution will help to purchase supplies and advance the cause of the foundation.
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PODIATRISTS AND FOOTWEAR |
The Shoe Buying Market Needs to be Educated: MN Podiatrist
Shoe designer and podiatrist Marion Parke, DPM says, “I don’t give my competitors my time. First of all, they don’t have the professional knowledge base. They don’t know anatomy or the biomechanics of how dress shoes affect the foot and ankle. We are delivering this brand in a very elevated way. I see this brand as one that speaks to women who are very sophisticated and understand and acknowledge the differences."
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Dr. Marion Parke |
"Customers want information, they want to learn, and they are interested in connecting with stories, which makes our company unique because we do have a genuine story behind our brand. Women who love fashion and artistry can appreciate these shoes...Podiatrists and footwear brands haven’t done a good enough job educating the marketplace," says Dr. Parke.
Source: Meggen Taylor, Forbes [2/14/19]
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PODIATRISTS AND REALITY TV |
NJ Podiatrist Becomes a Titan and Advances in Mt. Olympus Thriller
Brad Schaeffer, DPM was among several New Jerseyans competing on The Titan Games on NBC during the show's inaugural season. He earned a victory in one-on-one matches shown on TV on Thursday, Feb. 14, and powered his way into the semi-finals, which will air either on Feb. 21 or 28th.
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Dr. Brad Schaeffer (R) advances to The Titan Games semi-finals in photo finish |
Dr. Schaeffer, a foot surgeon from Weehawken, is among an elite group of only eight women and eight men remaining in the competition. If you think it’s no big deal to earn a spot in the semi-finals, consider this: About 100,000 athletes from across the nation applied for the show, and only 64 were selected after trying out during an NFL-style combine in which their strength and skills were tested.
Source: Len Melisurgo, nj.com [2/14/19]
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PODIATRISTS AND THE LAW |
CA Podiatrist Arrested for Insurance Fraud & Kickbacks
Podiatrist Schlomo Schmuel, 53, of Sherman Oaks, on Wednesday surrendered to the California Insurance Department on two felony counts of fraud after allegedly inflating bills, according to an announcement from the insurance department. The resulting loss to an insurer totaled more than $360,000. Investigators allege Schmuel also was involved in an unlawful kickback scheme involving hot/cold units.
Source: Amy Stulick, San Fernando Valley Business Report [2/13/19]
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RESPONSES/COMMENTS (CLINICAL) - PART 1A |
From: Todd Lamster, DPM
With all due respect to my colleague who posted this query, a resection of the base of the proximal phalanx will make your patient much worse, as it will only serve to destabilize the joint further and allow the toe to dislocate, probably leading to an eventual loss of the toe. The joint is subluxed because of a plantar plate disruption; a result of overload. Look at the length of the lesser metatarsals in comparison to the 1st metatarsal. The x-rays show considerable swelling, so I would first apply a stabilizing splint around the toe with a soft cast, and have the patient take a short course of an oral steroid (if appropriate). Assuming a reduction in the swelling and inflammation of the area, an arthrodesis of the 1st MTPJ with a flexor tendon transfer of the 2nd MTPJ and toe would be your best option. (I wouldn't cut through the 2nd met again to repair the plantar plate.)
If you don't address the 1st MTPJ, whatever you do on the 2nd MTPJ is doomed to failure. Also, I wouldn't worry too much about arthritis of the joint, as going back into that joint and performing a flexor tendon transfer will create significant scarring and stiffness, obviating the need for an implant.
Todd Lamster, DPM, Scottsdale, AZ
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RESPONSES/COMMENTS (CLINICAL) - PART 1B |
From: Don Peacock, DPM, MS
This patient's poor outcome could be alleviated through minimally invasive procedures. The second metatarsal can be shortened with an oblique percutaneous osteotomy proximal to the screw implant. This would decompress the second metatarsal joint. After the osteotomy, the 2nd metatarsal head could be translated laterally, which would tighten the medial structures and loosen the lateral structures of the 2nd MPJ and help pull the 2nd toe medial.
Also, a percutaneous osteotomy could be made with a lateral wedge in the base of the proximal phalanx without removing hardware. This would place the toe in a more rectus position. Finally, a percutaneous incision to release the tight lateral structures of the second MPJ could be performed. These maneuvers would place the toe in a rectus position and decompress the joint.
It is likely this would resolve the patient's pain and would be easier on both the patient and surgeon as opposed to removing the hardware and risk worsening the patient's pain. Removing the implant will elicit significant trauma, which the MIS work-around surgery would not. These procedures could also be done with a small incision and a bone saw if the surgeon is not comfortable with surgical correction via burr.
Don Peacock, DPM, MS, Whiteville, NC
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RESPONSES/COMMENTS (NEWS STORIES) |
From: George Lane, DPM
I appreciate Dr. Conenello’s input regarding the selection of appropriate running shoes, as he provides many excellent points. I do, however, differ with his position of always advocating that patients wear the least possible shoe that they are comfortable with.
My concern is the “least possible shoe” which is comfortable may feel great when tried on in the store but not provide enough protection for the particular individual’s requirements. Many of the comfortable lightweight running shoes, for example, are constructed with a flexible sole under the arch region. The choice of such a shoe may expose the plantar fascia and other structures to excessive stress, especially in those who have or have had plantar fasciitis, who are overweight, who ambulate or run on hard or uneven surfaces, whose feet are not conditioned to flexible footwear or footwear with lower rearfoot to forefoot drop (if featured in the shoes chosen), who overpronate, or who run with poor biomechanics (such as overstriding).
I agree with Dr. Conenello that the shoes chosen should be comfortable, but more important than also being as minimal as possible, they must provide adequate protection for their intended use by the individual who will be wearing them. Even professional distance runners, in order to reduce the risk of injury, do not wear their lightweight racing flats for the physical demands of daily training.
George D. Lane, DPM, Midlothian, VA
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RESPONSES/COMMENTS (PM NEWS QUICK POLLS) |
From: Joseph Borreggine, DPM
The fact is Dr. Sherman is right. The last time I looked, our degree is “Doctor of Podiatric Medicine” which encompasses everything under the sun when it comes to podiatry. Yes, we perform surgery, but for most, it’s not the mainstay of the profession.
I would opine that most are surgeons in name only because they have been “certified” and now are considered a card-carrying member of a surgical board or college that has allowed a podiatrist to have such a distinction. I am one of those dues-paying members. All the precepts required to bound over the necessary hoops to gain such esteem along with paying the yearly dues make me a “podiatric surgeon”. Right? Wrong! Rather, ...
Editor's note: Dr. Borreggine's extended-length letter can be read here.
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YOU CAN'T MAKE THESE THINGS UP |
RE: Outrageous Shoe of the Day
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The latest in designer surgical shoes? |
Source: Submitted by Dr. Burton Katzen
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MEETING NOTICES
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NEED CME CREDITS FAST?
PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME
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Choose any or ALL from 25+ CECH Category-1 articles posted
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CLASSIFIED ADS - ASSOCIATE POSITIONS AND FELLOWSHIPS |
FULL TIME ASSOCIATE POSITION - GREATER NEW YORK CITY AREA
3 location group practice requiring a full-time Associate Podiatric Surgeon with minimum 3 years of surgical residency training in all aspects of foot and ankle surgery, ABFAS board qualification in foot and RRA required. Must be comfortable with all foot and ankle procedures. Must be motivated, hardworking, positive, and dedicated to growing the practice as well as individual career and reputation. Traveling by car is required (not just public transportation). Interested candidates can contact via email: delucia@faasny.com
ASSOCIATE POSITION – SUFFOLK COUNTY, NY
Immediately available P/T or F/T opening with our Suffolk county practice for a well-trained doctor. State of the art, EMR compliant office with flexible hours. Full benefits are available with F/T position. Send CV and contact info to SNSFPodiatry@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.
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
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 - VESTAL, NEW YORK
Rare Opportunity: 38-year-old, part-time, well established, “CASH” practice. NO INSURANCE. Patient pays directly for their services. Yields personal income range of $200-$250K. Well maintained 2500 sq.’ office and equipment. Willing to introduce and train. Contact: uniquepractice@gmail.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 - 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
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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