The Voice of Podiatrists

Serving Over 14,000 Podiatrists Daily

February 21, 2013 #4,697 Publisher-Barry Block, DPM, JD

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Proper Shoes Can Prevent Many Common Foot Problems: AL Podiatrist

Too tight shoes are often the cause of a trip to the podiatrist. Dr. Joseph Dupper said he sees the consequences all the time. "Obviously, you're going to run into issues with pain. One of the things we see in people with tight shoes are ingrown toenails from the nails getting squeezed by the shoe," he said. Dupper said other problems include bunions, hammertoes, crossed toes, and corns. All are problems that could lead to foot surgery.

Dr. Joseph Dupper

Many problems can be prevented by picking the right shoe. For women, that means wearing a lower heel and toes that are not pointed. "Women tend to push the envelope as far as shoes are concerned. That's always an issue," added Dupper. He said sensible is the key.

Source: Bobby Shuttleworth, WAFF-TV [2/18/13]

ACFAS Announces Poster Winners

This year's ACFAS Annual Meeting featured over 300 posters, by far the most of any competition to date. The following were the winners:  

Case Study Format - Case Report of AO Type 43C2 Ankle Fracture Leading to Amputation: An Algorithm for the Management of Latent Vascular Injury Associated with Ankle Fracture: Jacob Wynes, DPM and Levester Kirksey, MD

Scientific Format - Tibiocalcaneal Fusion via Peg-in-Hole Technique with Combined Ilizarov External Fixation Method: Edgardo R. Rodriguez, DPM, Byron L. Hutchinson, DPM, FACFAS, Eric G. Powell, DPM

Student Club - Presentation and Treatment of a Fibrocartilaginous Navicular-Medial Cuneiform Coalition: A Case Report: New York College of Podiatric Medicine

(L-R) Dr. Kevin Jules , NYCPM Poster winners: Heidi M. Godoy ('15), Prakash N. Panchani ('14), and Todd M. Chappell ('14), Dr. Michael Trepal (2nd from right)

PA Podiatrist Elected to YMCA Board

Dr. Jess T. Drezner

Dr. Jess T. Drezner of Podiatry Associates Group was recently elected to the board of the South Mountain YMCA. Drezner is a graduate of the Pennsylvania State University and the Illinois College of Podiatric Medicine. Dr. Drezner also holds an MBA, with a concentration in Health Administration. Dr. Drezner is affiliated with the Reading Hospital and Medical Center's Department of Surgery (1996-present).

Source: Reading Eagle [2/19/13]

New Deficit-Reduction Plan Seeks $600B in Healthcare Cuts

The former co-chairmen of the president's bipartisan fiscal commission have introduced a deficit-reduction proposal that calls for an additional $2.4 trillion in savings over 10 years, with roughly a quarter of those savings—or about $600 billion—coming from Medicare and Medicaid. Erskine Bowles, former White House chief of staff in the Clinton administration, and former Sen. Alan Simpson (R-WY) unveiled the framework as a way to show lawmakers that a so-called grand bargain to lower the nation's ballooning deficit is still within reach.

To reduce spending in the nation's healthcare entitlement programs, the plan calls for reducing provider payments, changing cost-sharing rules, increasing premiums for higher earners, and “savings from lower drug costs and adjustments to account for an aging population,” according to additional information provided by the Moment of Truth project, for which the former leaders of the president's National Commission on Fiscal Responsibility and Reform serve as co-chairmen.

Source: Jessica Zigmond, Modern Healthcare [2/19/13]

Query: Hyper Dosiflexion

A 57 year old retired fireman presented with heel pain. I noticed almost 30 degrees straight-leg dorsiflexion bilateral at the ankles. I didn't note extreme ROM at any other lower extremity joint. I know excess lengthening during a TAL causes problems. Any hints about what I should be watching for in this patient with natural hyper-dorsiflexion?

Larry Aronberg, DPM, Lake Worth, FL

RE: Etiology of Hallux Varus
From: Vincent Gramuglia, DPM

The current debate over the biomechanics of the post-operative bunion has left me longing for a simpler time in PM News when we debated the intricacies of mycotic nail billing in nursing homes. Boy do I miss the good old days!

Vincent Gramuglia, DPM, Bronx, a2onpar3@optonline.net

Editor's note: We agree, and we will be closing this topic with today's notes.

RE: Etiology of Hallux Varus (Dennis Shavelson, DPM)
From: Robert Bijak, DPM

If we accept Dr. Shavelson's theories, then nearly all podiatrists and podiatry school biomechanics are wrong, and we have been treating patients unsuccessfully for a generation. Where are the biomechanic experts from our hallowed institutions to tell us who's right?  Or, do they also believe orthotic biomechanics is so much alchemy? 

Robert Bijak, DPM, Clarence Center, NY, rbijak@aol.com

Initially, this discussion started with what appeared to be a case of idiopathic hallux varus. Now, it has progressed or digressed into a discussion on the basics of what I like to call BIOMAGIC. Root vs. Shavelson (FLEB). I do not claim to be a biomechanics expert or an innovative thinker. I do claim to have years of experience in surgery which requires a sound understanding of the way the foot works. What is successful in some does not work in others.

Biomechanics principles should be used as a teaching tool for...

Editor's note: Dr. Sullivan's extended-length letter can be read here.

RE: Etiology of Hallux Varus (Dennis Shavelson, DPM)
From: Jeffrey Root

I appreciate Barry Mullen, DPM’s supportive words about the value of "Rootian" biomechanics. I don’t necessarily understand Dr. Shavelson’s explanation of his own theories or some of his attempts at describing the biomechanical theories of Merton L. Root, DPM, et al.

In his reply to Dr. Mullen, Dr. Shavelson stated “Discussing a re-alignment of the hindfoot in the same breath as hallux valgus and varus reveals an American podiatry fixation that is...

Editor's note: Mr. Root's extended-length letter can be read here. This topic is now closed and no further letters will be posted. 

RE: Complaints Continue to Pile Up Against WI Podiatrist
From: Michael Forman, DPM

I am as disgusted as anyone with cheaters and crooks. I may be under the wrong impression, but I learned in elementary school that an individual was innocent until proven guilty. The recent post in PM News (reprinted from Fox News) describes Dr. Lanham as having billed Medicare $10,000 for a first visit. It's hard to believe that anyone could justify a fee such as that unless they performed bilateral triple arthrodesis and an excision of a pheocromocytoma (one of my favorite diseases to pronounce). 

I have always said, somewhat in jest, that we should only have four fees, $10, $100, $1000, and $10,000. If we belong to an insurance panel or accept Medicare allowance, what we charge is moot. We are forced to accept their "usual and customary" pre-determined fees. Did this doctor charge his patient $10,000? Unlike Fox News, I don't know.   

Michael Forman, DPM, Cleveland, OH, im4man@aol.com

RE: TX Podiatrists Prevail Against Hospital Which Tried to Restrict Ankle Privileges
From: Don Canada

As you may have noticed, the February 5, 2013 publication of PM News included an article about the Hendrick Medical Center litigation. The PM News article correctly reported that the Texas Eleventh Court of Appeals upheld the trial court’s denial of Hendrick’s motion to dismiss because claims brought by plaintiffs TPMA, Dr. Cory Brown, and Dr. Martin V. Sloan are not healthcare liability claims under Chapter 74, Texas Civil Practices & Remedies Code. However, the PM News article also implied that the litigation was now over and that the Texas podiatrists had finally prevailed over the hospital which tried to restrict ankle privileges...which is not correct.

Instead, the Court of Appeals decision will now send the case back to the trial court for...

Editor's note: Mr. Canada's extended-length letter can be read here.

RE: So Real, But It's Art

Chooo-San, a first year student at Musashino Art University in Tokyo, Japan, garnered attention in June when she painted misplaced mouths, extra eyes and eerie robotic extras to the human body.

Laced up Foot by Chooo-San

Then, she painted life-like zips, buttons, and shoelaces to the skin of her willing friends,

Source: Daily Mail (UK) via Dr. Robert Steinberg

EQUIPMENT FOR SALE - USED Q-CLEAR LASER

Still under warranty. New laser head just added. First Best Offer. Marketing and training included. Dr. Zuckerman will train you. e-mail with questions to mook863@comcast.net

EQUIPMENT FOR SALE - CUTERA GENESIS PLUS

Cutera Genesis Plus. 30 months old, low shot count, sku 022012a 1064 ND:YAG With new handpiece Dec.2011 for 1.5mm adapter go to www.thelasertrader.com Price is $35,000. Save over $29,000. Excellent Condition.

PRACTICE FOR SALE - CORONADO, CA

Unique opportunity to purchase a very well established practice in beautiful San Diego. Hospital privileges available. Large and stable patient and referral base with consistent new patient growth. Why not practice where people vacation and retire? Willing to stay for transition. Inquires please email pestibear@gmail.com

PRACTICE FOR SALE - SOUTHWEST FL

Multilocation multidoctor practice in beautiful Southwest Florida . Practice has grossed over seven figures consistently and currently shows 10-15% growth in revenues with increase in new patients and patient visits. EHR is already implemented with meaningful use criteria met. Practice has been professionally evaluated by Provider Resources. Only serious inquiries to this email address. This is a great practice in Paradise and a good opportunity for the right doctor or doctors. Email to: practiceforsaleswfla@gmail.com

PRACTICE FOR SALE - MISSION VIEJO, CA

Relocating to Tulsa. Great opportunity to buy my office. Located at Mission Hospital. Gross income 2012 was $560,000. Approximately 1300sqft with 3 treatment rooms, digital x-ray and fully computerized. Will consider all offers. Call David at 949-702-1052 or david@missionviejofootcare.com

POSITION AVAILABLE - WEIL FOOT ANKLE & ORTHOPEDIC INSTITUTE-CHICAGO

Weil Foot Ankle & Orthopedic Institute is expanding their presence in the Chicago metropolitan area and suburbs and is recruiting qualified podiatric surgeons. A three-year residency is required and a podiatric fellowship is preferable. Current practicing podiatric practitioners in Chicago and surrounding area are also welcome to join our rapidly expanding practice that currently numbers 16 DPMs, a neurologist, an orthopedic surgeon, and a primary care sports medicine physician. For more information contact: info@weil4feet.com or call Stephanie Spiegel, COO at 847-390-7666.

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. Above average salary and benefits. Please send Letter of Interest and CV to scdpmjobs@gmail.com.

ASSOCIATE POSITION - DAYTON, OH

Join a well-established modern practice in Dayton, Ohio. Excellent reputation and referral base. Base salary $120,000, benefits and bonus structure. EMR, diagnostic ultrasound, Padnet vascular studies, CO2 lasers, all aspects of DME. We seek a surgeon that is well-trained and personable to join our group of 4 podiatric surgeons. Would like to have this individual buy in to the practice eventually. Please send CV and to Ohiodoctors@aol.com

PART-TIME ASSOCIATE - BRONX, NY

Seeking a well-trained, confident, ethical, hard working candidate. All aspects of podiatry performed (surgery, biomechanics, routine foot
care, DME, vascular studies, diagnostic ultrasound). Also, seeking help for house calls in the Bronx and Westchester (mostly routine foot
care, DME). Competitive salary. Please send CV to: docdpm2@gmail.com

ASSOCIATE POSITION - NORTH CAROLINA

Busy, well established five-office practice in Charlotte, NC looking to fill an associate position leading to partnership for the right person. General and surgical podiatry, wound care. Close to beach, mountains - ideal location for outdoor enthusiast. NC license necessary. Competitive pay with incentives. Send resume to charpodiatry@gmail.com

ASSOCIATE POSITION – NORTH CAROLINA

New associate position available that may lead to partnership. We are a very busy practice providing care in both office and hospital settings. EHR, arterial vascular testing, and ESWT in the office. We are fully integrated in a large tertiary teaching hospital. We are located in the beautiful mountains of western North Carolina. Research opportunities are available. Applicant should be ethical, personable, hard-working, and committed to quality in patient care. We are offering a competitive compensation package and a wide range of benefits. All interested candidates should send a CV to MFAS828@aol.com

ASSOCIATE POSITION - NEW YORK

Looking for a once in a lifetime opportunity to join a state-of-the-art well rounded Long Island practice with hospital privileges? Then our office is what you're looking for. Located 20 miles from NYC, LI offers great schools and lifestyle. Perfect for an experienced practitioner or 2013 residency graduate who is ethical, productive, and board certified/qualified looking to be part of a winning team now and in the future. Want to be a partner in a successful practice or own your own office? Serious motivated practitioners only invited to send their CV and personalized cover letter to: mets724@gmail.com.

PODIATRIC PHYSICIAN/SURGEON - CHICAGO AND SUBURBS

Chicago Podiatric Surgeons is searching for a full-time podiatric physician/surgeon. Prefer ABPS qualified/certified with experience in private practice. Great benefit package and partnership opportunities. Please send letter of interest, CV to dr.tcarr@gmail.com

POSITION AVAILABLE - BALTIMORE MARYLAND

Confident, surgically trained associate position available to join well-established practice locations. Leading to ownership within 3 years! Great salary and benefits. Will train on practice management, business management, and billing. Call 301-514-9781

ASSOCIATE POSITION - NORTHWEST IOWA

A well-established, midwest multi-physician practice with strong hospital affiliations seeking FT podiatrist. Applicant should be well trained surgical physician, completed a 12/24 month residency, & board eligible. Practice offers high surgical volume, advanced wound care and good mix of general podiatry. Competitive salary, excellent benefits. Fax resume: 712-258-9977.

ASSOCIATE POSITION - WASHINGTON, DC/ MD SUBURBS

Prominent, established two office practice seeking well rounded, personable, ethical individual with sharp medical and surgical skills. Must be 24/36 month trained, ABPS qualified or certified. Partnership opportunity with ownership potential. Competitive salary with benefits package. Please send CV to ponyrunner66@gmail.com

ASSOCIATE POSITION - MARYLAND

EMR, digital x-rays, ultrasound, computerized scheduling, certified ambulatory surgical centers, hospital and physician referral base. Please send cover letter and resume to: newdpm@footandankle-usa.com.

ASSOCIATE POSITION - VA (SOUTH CENTRAL)

Thirty year established practice seeking associate. PSR 24/36 training, must be highly motivated, personable, ethical and willing to provide all aspects of podiatric care. Early partnership opportunity with potential ownership. Competitive salary and benefits. Excellent opportunity for a successful career. Please send CV to footcare2020@aol.com or fax to 804 733-5946.

ASSOCIATE POSITION - SOUTHWEST FL

R U a PM&S36 graduate looking for a bright future in podiatry BUT cannot be afraid to work hard to achieve. Complete from nail care to reconstructive ankle/leg trauma. Attitude + god complexes need not apply. Frames, nails, must be comfortable applying. Work hard for a bright future, our group can help you achieve. Send CV, and letter of intent to mny1029@gmail.com

ASSOCIATE POSITION - 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 bio to: Tonya@wetreatyourfeet.com

POSITIONS AVAILABLE - SYRACUSE AND BUFFALO

Looking for podiatrists to see residents in Nursing Homes. Great opportunity for supplemental or full time income. Email inquiries to phasetwopodiatry@gmail.com

ASSOCIATE POSITION - MISSOURI – EAST CENTRAL

Podiatric medical group seeks recent graduate or 2013 graduate who is interested in working with former residency director who can enhance your already strong training Full scope practice with the cases to fast track to board certification. We are located close to St. Louis for day use. Exceptional school system in a low crime, low cost of living area. E-mail resume to: drfootski@hotmail.com

PODIATRIC SPORTS MEDICINE FELLOWSHIP - ORANGE COUNTY CA

July 1, 2012 and ending July 31, 2013. $60,000/year, medical, dental, malpractice, and CME allowance. APPLICANTS MUST BE ABLE TO OBTAIN A CALIFORNIA LICENSE. Letter of interest, and CV to: Philip Radovic, DPM, Fellowship Director, Email: Info@feetfixer.com

SPACE AVAILABLE - NYC & LI

Office to sublet and share - East 60th Manhattan, and Plainview, Long Island. access to an MRI, Joint Commission certified operating rooms, digital x-ray, diagnostic ultrasound, and access to a multi-specialty ambulatory surgical center. Also availability E 22nd between 2nd and 3rd and E 70th off 3rd. Turn-key operation - no investment needed PODO2345@AOL.COM 516-476-1815

PM News Classified Ads Reach over 14,000 DPMs and Students

Whether you have used equipment to sell or our offering an associate position, PM News classified ads are the fastest, most-effective way of reaching over 14,000 DPMs. Write to:bblock@podiatrym.com or call (718) 897-9700 for details. Weekly ad rates start as low as $115 for a 50-word ad. THIS OFFER DOES NOT APPLY TO BUSINESSES PROVIDING PRODUCTS OR SERVICES. Note: For commercial or display ads contact David Kagan at (800) 284-5451.

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