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PM News

The Voice of Podiatrists

Serving Over 17,540 Subscribers Daily


February 20, 2017 #5,866 Publisher-Barry Block, DPM, JD

A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2017- No part of PM News can be reproduced without the
written permission of Barry Block

apexjan2317

PM NEWS QUICK POLL RESULTS
Results of last week's poll
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PM NEWS QUICK POLL

Quick Poll

How much have the new opiod warnings and regulations affected your prescribing of pain medications?
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DrRem37

PODIATRISTS AND SPORTS MEDICINE
WI Podiatrist Discusses Causes or Foot Cramps
 
There are a few reasons your feet may be cramping up. When it comes to your feet specifically, the most likely culprit is ill-fitting shoes, says Alex Kor, DPM, a podiatrist at Froedtert & the Medical College of Wisconsin, and immediate past president of the American Academy of Podiatric Sports Medicine. As you exercise and your feet swell with the heat, ultra-tight shoes can compress the nerves on top of your foot. You can mitigate it temporarily by tying your shoes differently to relieve pressure on the top, says Kor. 
 
Dr. Alex Kor
 
In fact, tendinitis—either caused by poor footwear or other overuse events—is a prime culprit of foot cramping, Kor says. This inflammation in your tendons can cause not just pain but also potential swelling. But you won’t know if it’s a soft tissue condition, nerve issue, or bone problem unless you see a doc, Kor adds. Metabolic disorder is another potential cause of foot cramping—albeit a much less likely one—because low potassium and low sodium levels can cause cramps. But if this were the case, you'd suffer from cramps outside the gym as well, Kor adds.
 
Source: Rachael Schultz, Men's Fitness [2/14/17]
Bakomacer

PODIATRISTS IN THE COMMUNITY - PART 1
SC Podiatrist Tells Students "The Sky's the Limit"
 
South Carolina State graduate Dr. Kevin Ray, an Orangeburg podiatrist, told students that the sky will be their limit when they earn degrees from the university. Ray is the owner of The Foot Institute.
 
Dr. Kevin Ray
 
"We don't produce haphazard students," Ray said. He told them, “If you are going to excel in entrepreneurship and business … it starts right here at South Carolina State University. I have done it." Ray is the founder of the R.A.Y. Foundation which co-sponsored the event. 
 
Source: Gene Zaleski, The Times and Democrat [2/17/17]
drjillsfeb1317

PODIATRISTS IN THE COMMUNITY
HI Podiatrist Joins Mango Medical
 
Podiatrist Dr. J. Cliff Gilley joined Mango Medical this month in Waimea. He has visited Hawaii more than a dozen times, and the first time he and his wife stepped on Hawaii Island they fell in love with it and its people.
 
Dr. J. Cliff Gilley
 
Dr. Gilley earned a doctorate of podiatric medicine in 2001 from the Barry University School of Podiatric Medicine in Miami. He completed his residency in foot and ankle surgery at Grant Medical Center in Columbus, Ohio in 2004, and most recently practiced in Knoxville. He is a member of the American Podiatry Medical Association, American College of Foot and Ankle Surgery, and Hawaii Podiatric Medical Association.
 
Source: Liz Nakayama, West Hawaii Today [2/17/17]
Nuvolase

FROM PM's CURRENT ISSUE
Twice 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
Blaine1003C

QUERIES (MEDICAL-LEGAL)
Query: Obligation to Treat Undocumented Immigrants
 
As healthcare providers, what is our fiduciary responsibility in the case that we become aware that a patient whom we care for is illegally in our country? Can we look the other way? Are we at any legal risk for their actions if we are aware that our patient is illegally in this country, choose to look the other way, then he/she commits some act of terrorism? Is this part of the doctor/patient protected information (HIPAA)?
 
Tip Sullivan, DPM, Jackson, MS
 
Editor's Comment: PM News does not provide legal advice. There is no specific requirement to treat or not treat someone based on immigration status. One thing to note is that a podiatrist cannot, in most circumstances, report someone to the federal government or any other authority without violating patient confidentiality. One exception would be if the patient committed a crime in your office or you had reason to believe that any patient was planning a terrorist attack.
 
While there is no legal responsibilty to treat an undocumented immigrant, there is likely an ethical responsibility under the APMA Code of Ethics ME4.21 "The podiatrist shall not discriminate against any patient because of race, religion, ethnicity, gender, sexual orientation, disability, socioeconomic status, or health status."

neurogenixjan3017


QUERIES (ETHICS)

Query: Ethical Dilemma

I was recently referred a 17 year old male who had been in a 4 wheeler accident 2 years prior, sustaining a compound fracture of his left lower leg. Over the last year, he has developed a symptomatic hallux hammertoe of the left foot. It appears that he needs a Jones teno-suspension with an arthrodesis of the left HIPJ. The patient has Amerigroup, and my reimbursement for this will be a grand total of $237. Considering my peri-operative time, along with the 90-day global, this will hardly be the $15 minimum wage. Here's the quandary: Perform the surgery? Decline to perform the procedure? How do my colleagues handle this "predicament", and what is your justification for your decision?

IT IS HERE NOW!!
The New, Revised, More Inclusive 2017 Podiatry Coding Manual 
               From Michael G. Warshaw, DPM, CPC
It is fully updated for easy readability 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 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 125.00 including shipping!!!
     Available in Book, CD, and Flash Drive Formats
To order by credit card, just access the website drmikethecoder.com
             No credit card? No problem. Just mail a check or money order to:
 
Michael G. Warshaw, DPM, CPC
1837 Puerto Bello Drive
Lady Lake, Florida 32159

pedicis59b

QUERIES (CLINICAL)
Query: Nitroglycerin Patches for Overuse injuries
 
Recently, a patient of mine went to his orthopedist for an Achilles tear and plantar fasciitis. His orthopedist gave him nitroglycerin patches to induce neovascularization. He is improving. Is anyone utilizing Nitro patches for tendon overuse injuries, and if so, what has your experience been? 
 
Howard Dinowitz, DPM, Brooklyn, NY 
PICA Group

RESPONSES/COMMENTS (CLINICAL)
From: Dan Short, DPM
 
I question the patient’s ambulatory status. If he is any sort of ambulatory state, the best option is a sural flap. It's based on the perforating peroneal artery which is the last of the trifurcation to be affected with DM and is often open even in people with PVD. This needs aggressive management and closure, not a trial of something without proven results.
 
Dan Short, DPM, Springfield, VA
RediH-thotics

YOU CAN'T MAKE THESE THINGS UP

RE: Outrageous Shoe of the Day

This shoe is one for the birds!

Source: Costa Magarakis via Virtual Shoe Museum

MEETING NOTICES

superboneseastdec15

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Earn 15 Contact Hours only $210

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Choose any or ALL from 30+ CME Category-1 articles posted


CLASSIFIED ADS - PART 1- ASSOCIATE POSITIONS AND FELLOWSHIPS
ASSOCIATE POSITION PART-TIME -SOUTHERN NJ  
 
PT position for a motivated, positive personality, board qualified/certified podiatrist. 20 hours/week. Email: BestfootcareNJ@gmail.com
 
ASSOCIATE POSITION – CALIFORNIA 
 
Central Valley/Southern CA. Seeking associate with partnership availability. Must be highly motivated and have good patient skills and personality.  Salary excellent with all paid benefits/incentives including malpractice/401k and profit sharing. Compassionate and well-trained for immediate position. Surgery Center and hospital based with no HMOs/no rest homes. Bilingual in English and Spanish preferred. Offering a permanent position/partnership in a multi-million dollar hi-tech practice with Partnership also in Surgery center. Please e-mail CV and short biography to: Tonya@wetreatyourfeet.com
 
ASSOCIATE POSITION - ST. LOUIS, MO 
 
Expanding group practice seeks full-time podiatrist to join our team, we have state of the art facilities with EHR, lasers, EPAT, digital x-ray, etc.  Candidates must have completed a PSR/36 residency and be well-trained, ethical and collegial. Competitive salary with incentives and benefits. If interested, please Contact CHARLENEW@FACSTL.COM.
 
ASSOCIATE POSITION – SOUTH CAROLINA 
 
South Carolina's largest provider of foot care is a multi-doctor, multi-location practice currently seeking a highly skilled, personable, and hardworking physician to join our TEAM. South Carolina License is necessary and next exam is June 2017.  Starting Compensation package $120k-$140k (base + bonus), health insurance, paid vacation, CME allowance, and retirement. Please send Letter of Interest and CV to: scdpmjobs@gmail.com
 
IMMEDIATE ASSOCIATE OPPORTUNITY – CHICAGO 
 
Multi-location group-Chicago/Near West Suburbs - Opening for ABFAS Board Certified/Qualified associate for Chicago. Surgical/ortho patient load. No nursing homes. Must hit the door running! EMR, digital x-ray, laser, ultrasound, shockwave, surgery center & amazing support staff. Benefits available, associateship available for the right doc. Send CV to chicagopodwork@gmail.com
 
ASSOCIATE POSITION – ST. LOUIS, MO 
 
Single location, two physician practice is seeking an associate due to retirement. Friendly office with comfortable schedule involved in all phases of podiatry. Opportunity for developing new areas of special interest. Guaranteed base salary with production bonus and other benefits including ownership options.  Contact medwestpod@gmail.com for additional information.
 
POSITIONS AVAILABLE - IN, TN, TX, MO, KS, WI
 
Preferred Podiatry Group is seeking providers to join our growing practice servicing long term care facilities in several areas.  We offer a competitive commission based income as well as a benefits packaged to our employed podiatrists. Full-time and part-time positions are available.  Contact Dr. Chris Kestner at ckestner@ppgpc.com for details.
 
IMMEDIATE ASSOCIATE POSITION AVAILABLE – INDIANAPOLIS 
 
For motivated, hard-working residency-trained podiatrist in busy 3-office practice leading to partnership. Would consider 2017 residency graduate. Two locations in Indianapolis and 1 location outside of Metro area. Competitive salary and benefit package including 401, profit-sharing, Health insurance. Surgery center ownership available. Forward letter and resume to Imalament1@comcast.net.
 
ASSOCIATE POSITION - HARTFORD COUNTY, CT
 
Well-established, busy podiatric practice seeking a candidate who is dedicated, hardworking, motivated with an excellent bedside manner. The practice sees all age groups and all aspects of podiatry from simple to complex. Seeking a long-term team player dedicated to patient care and has the ability to work independently. Send CV to ct_footdoc@yahoo.com 
 
ASSOCIATE POSITION – SOUTHERN MARYLAND
 
Established practice in Southern Maryland looking for a full-time podiatrist. The ideal candidate will have strong clinical skills including ulcer care, diabetes and general footcare. Must have a strong office personality with the ability to maintain and attract patients. Advanced surgical training, evenings/weekends and E/R- on call not required. Please send C/V to: feet_r_neat@aol.com.
 
FOOT & ANKLE FELLOWSHIP- EXTREMITY HEALTHCARE, INC,  ATLANTA, GA 
 
This fellowship is under the direction of Dr. Mohammad Sharif, and is a 12-month surgical fellowship program involving foot & ankle surgery and limb salvage. Start date is August 1st, 2017. Salary: $ 50.000 + benefits (CME, health insurance, etc.) The fellow will focus on foot & ankle surgery including external fixation and will work with a limb salvage team.  Submit letter of introduction and CV with medical school transcript to dfell@extremityhc.com.  Deadline for applications is May 10th, 2017.
 
PM NEWS CLASSIFIED  ADS REACH OVER 16,500 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 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 PART 2 - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE
EQUIPMENT FOR SALE ACUSON P300 DIAGNOSTIC ULTRASOUND SYSTEM 
 
Acuson p300 Diagnostic Ultrasound System, good as new, excellent condition, purchased in 2013 and rarely used due to office time constraints. Includes transducer, owner’s/operator manual, portable cart, all CD’s/drivers that came with purchase. Email hldeady@gmail.com for information and pricing, will consider Best Offer.
 
EQUIPMENT FOR SALE
 
Midmark 623 Exam Table/Chair with stool, absolute mint condition, never used. Also available are Biomedix PADnet arterial/venous testing device and Noveon Nail Laser machine. Serious inquiries only. Please contact nefootandankle@optonline.net.
 
EQUIPMENT FOR SALE - PRICE REDUCED - EXCELLENT CONDITION!!!
 
A2D2 Digital Imaging with HP laptop, hydraulic exam chair, stainless steel surgical lamps and washing basin with stand, Mayo trays/stand, X-ray unit, Osada drill with 2 hand pieces, and much more! All equipment comes with a working guarantee. Please email abbericken@gmail.com
 
PRACTICE FOR SALE - CALIFORNIA: NORTHERN 
 
Wanting to retire. Looking for someone to take over practice. Great opportunity. Ready patient base. Potential to expand in all areas of podiatry.  Awesome area - lakes, mountains, rivers - especially appealing to outdoor enthusiast/anyone who enjoys beautiful locale.  $285,000 buys building and well established practice. Email reddingpodiatry@sbcglobal.net
 
PRACTICE FOR SALE - LOS ANGELES COUNTY SUBURB
 
Golden Opportunity- Gross is over $500,000.00 on only 2 days. Easily expanded to full time practice. Full mix of patients- private, Medicare, HMO. All phases of podiatry practiced- surgery, wound care, maintenance, biomechanical. Be your own boss. Interested parties send email to footguy1@pacbell.net
 
PM NEWS CLASSIFIED  ADS REACH OVER 16,500 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 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.
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Barry H. Block, DPM, JD
 
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