The Voice of Podiatrists

Serving Over 13,500 Podiatrists Daily

February 22, 2012 #4,391 Publisher-Barry Block, DPM, JD

A service of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2012- No part of PM News can be reproduced without the
express written permission of Kane Communications, Inc.

UK Podiatrist Provides Running Shoe Buying Advice

"The vast majority of running injuries are due to poor foot function and poor muscle balance, says podiatrist Wayne Edwards, director of operations at HFS Clinics. "When choosing a pair of running shoes, ensure that they fit properly and feel comfortable. It is a myth that you need to go up a shoe size to ensure this comfort; half a size is adequate," says Edwards. 

Wayne Edwards, D.POD.M

"People have a wide variety of foot shapes. Low-arched mobile feet need more support from the shoe - those available for this are often grouped as stability or motion control shoes. Average-arched feet can be accommodated in most neutral shoe designs. High-arched feet benefit from cushioning. We recommend that people go to a specialist running shop and have video gait analysis to work out the right shoe for them," says Edwards .

Source: Sarah Phillips, The Guardian [2/19/12]

OCPM Joining With Kent State University on Track for This Summer

Kent State University and the Ohio College of Podiatric Medicine (OCPM) plan to come together into one single, academic entity as early as this summer. Both institutions are collaborating to allow for a smooth transition. The move to join Kent State is part of the strategic plan of the podiatric school to take the college to the next level in teaching and research. Faculty and students of the podiatric college will have the opportunity to engage in research programs with public health, biomedical sciences, and sports medicine. Additionally, access to all men’s and women’s sports teams that exist at Kent State and the ability to work with Kent State faculty, trainers, and team physicians, and be exposed to a variety of varsity and intramural sports activities, could probably lead to a new area of specialization in the Doctor of Podiatric Medicine program.

Dr. Thomas Melillo

“This is a great opportunity for the OCPM community to be partnered with a high-caliber institution, such as Kent State,” said Ohio College of Podiatric Medicine President Dr. Thomas V. Melillo. “Our students will have more opportunities in their professional education, such as research, sports medicine, and the ability to pursue dual degrees. OCPM will be the only podiatric college associated with a state university, which gives our students an advantage in higher education.”

Podiatrist & Wife Named Duke and Duchess of Mardi Gras Court

Dr. Jayson and Lisa Cortez have been selected as Duke and Duchess of the 2012 King Christopher XXXVII Mardi Gras Court. Dr. Jayson G. Cortez was born in the Philippines and moved to the United States at age 15. He resided in Lawton, OK. Dr. Cortez received his bachelor's degree in zoology from the University of Oklahoma in Norman, OK. He then attended the Dr. Scholl College of Podiatric Medicine in Chicago where he received his Doctor of Podiatric Medicine degree. 

Dr. and Mrs. Jayson Cortez

Dr. Cortez completed his surgical residency at Wyckoff Heights Medical Center, an affiliate of Cornell University College of Medicine, in New York City. He moved to Leesville in 2001 to begin his medical practice with Dr. Jim Harvey at The Foot Clinic of West Louisiana. He is board certified by the American Board of Podiatric Surgery and The American Board of Lower Extremity Surgery. He is a fellow of the American College of Foot and Ankle Surgery (ACFAS) and The American Society of Podiatric Surgery (ASPS). Dr. Cortez is an active member of Doctors Hospital at Deer Creek in Leesville.

Source: Leesville Daily Leader [2/20/12]

Query: Hallux Rotation S/P Bunionectomy
 
I am consistently disappointed with a residual varus rotation of the hallux after excellent reduction of the IM and HA angles when repairing a large HAV deformity. Any ideas about how to get the toe rectus in the frontal plane?
 
Scott Hughes, DPM, Monroe, MI

Query: Update OSHA and HIPAA Manuals

What are the best sources to obtain either hard copies or to download updated versions of OSHA and HIPAA Manuals at a reasonable cost?"

Robert K Hall, DPM, Ft. Lauderdale, FL

Query: G8553 & eRxing

Since January 1st, I have submitted claims with encounter codes, but did not add the G8553, even though I eRx'ed during those visits and documented it in the encounter note.  What is my recourse? Can I add the G8553 to the specific claims with the encounter codes, and resubmit the claims even though some of the claims have already have been processed and will come back CO18 (duplicate billing)?

Nicholas Tumminello, DPM, Hewlett, NY

Response: You cannot add G8553 after the fact. You have no recourse. Just get 10 in before June 30. There is plenty of time.

Michael L. Brody, DPM, Commack, NY

Editor's Note:  Dr. Brody will be lecturing at the upcoming Greenbrier Coding & Practice Management Seminar, August 20-22 (following the APMA National Meeting. For details click here.

Codingline subscription information can be found here
APMA Members: Click here for your free Codingline Silver subscription

RE: Achilles Tendon Pathologies (Norm Wortzman, DPM)
From: Barry Mullen, DPM, Robert Bijak, DPM

Three classes of medication affect tendon pathology: cortiscosteroids, quinalone antibiotics, and statin cholesterol-reducing agents.
 
The mechanism of action that statins and quinalones have on tendon pathology remains unclear. Statins and quinalones are specific for the Achilles tendon. On rare occasions, rhabdomyolysis has been reported. If a patient on one of these medications suddenly complains of muscle fatigue, myalgia, or Achilles tendon pain, a CPK is indicated; if elevated, the medication should be stopped ASAP, and the patient referred to an internist for additional evaluation.
 
Barry Mullen, DPM, Hackettstown, NJ, yazy630@aol.com

Myotendinopathy is documented. I suggest running a blood creatine kinase to evaluate subclinical rhabdomyolysis. With the approval of the patient's MD, discontinuance of the Crestor for several weeks may cause an amelioration of the symptomology, adding credence to your diagnosis of iatrogenic disease. 

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

RE: Unknown Lesions on Legs (Razi Ahmed, DPM)
From: Robert J Snyder, DPM

The lesions could be an atypical pyoderma gangrenosum; biopsies are usually negative or reveal neutrophilic infiltrates. The diagnosis therefore is one of exclusion and there is no underlying disease in 50% of cases. Also consider pemphigoid and perform immunoflorescence the next time the lesions erupt.

Robert J Snyder, DPM, Tamarac, FL, drwound@aol.com

RE: Calcaneal Pain (Michael Ryan, DPM)
From: George Tsatsos, DPM

Try a rocker bottom shoe with a heel pad made of foam with a cut-out in the center.  Make sure the shoe rocks at the MPJs and has minimal heel contact, if any. The surgical alternative would be possible transfer of the anterior tibial tendon to the calcaneous - if the Achilles is not functioning due to the polio.

Also check her limb length, and if the affected foot is the same length or longer, you can do a dorsal V calcaneal osteotomy to decrease the calcaneal inclination angle. Try to keep the surgically-shortened leg within half an inch of the unaffected limb. Try to maintain dorsiflexion to 15 degrees following your procedures.

George Tsatsos, DPM, Chicago, IL, drtsatsos@anklenfoot.com

RE: Marcaine and Lidocaine (Theodore McKee, DPM)
From: Jack Hickey, DPM

We use Teregen Labs in Willoughby, OH at 800-848-0055 for all of our Marcaine, lidocaine, Dex acetate and Dex phosphate (they compound them for individual patients with prescriptions from us). I fax the patient's name, address, and phone on the prescriptions, and these products arrive at our office a few days later.

We've been doing business with them for almost 30 years and have never had a problem. We also get our PumiBars from them.

Jack Hickey, DPM, Levittown, NY, jhickeydpm@earthlink.net

RE: Podiatric Physicians Practice Podiatric Medicine: RIP Podiatry (Leonard Levy, DPM)
From: Gerald Peterson, DPM

Many years ago, our state association made an effort to STOP using the term podiatrist in our communications. I personally made an effort at a national level to stop using the term podiatrist in favor of the term podiatric physician and pushed others to do so. I feel the other terms "foot and ankle physician" or "surgeons" is just grandiosing ourselves rather than defining ourselves. We are podiatric physicians and surgeons! Podiatrist is just a short version of the same. What we do and how we present ourselves defines us, but we should ALL use the term podiatric physician in communicating to the public and outside agencies.
 
We are podiatric physicians and surgeons just like allopathic physicians are medical physicians and surgeons and osteopaths are osteopathic physicians and surgeons. They all have short terms for who they are too - ENTS, pathologists, orthopedists, dermatologists, etc. Let's not get hung up on beating each other up on terms. Our presentation to the outside world should always be podiatric physicians or, if you prefer, podiatric physicians and surgeons (just a bigger mouthful to get out in conversation).
 
Gerald Peterson, DPM, West Linn, OR, DRP@ifixft.com

RE: TX Podiatrist Awarded Patent For Flat Foot Implant (Steven J. Kaniadakis, DPM)
 
I agree with Dr. Kaniadakis that we should hear more about the achievements of our colleagues who have obtained a patent for a new invention. It is surprising that we do not get such information included in some of our seminars as there are a lot of us who have thought of great ideas but failed to move forward due to lack of funds or lack of information of where to go and whom to talk to.

As I understand it, the process of obtaining a patent is very costly, time-consuming, and riddled with legal paperwork. Such apparent deterrence may be in place to avoid the filing of numerous "useless" applications for patents, but I do not know for sure. Again, we need more information or a step-by-step guide on how to apply for a patent, whom to consult, and how to keep secure our newly discovered intellectual property.
 
Narmo L. Ortiz, Jr., DPM, Marietta, GA, nlortizdpm@embarqmail.com

RE: Dr. Malaprops?

I was reviewing a radiology report for a patient with a bunion. The report read, “House of Dr. Boggs deformity.” Not having heard of that malady before, I called the radiologist to ask him about it. He laughed and said he had dictated, “hallux abductovalgus deformity.”  P.S. He corrected the report.

Evan F. Meltzer, DPM, Jackson, MS, Evan.Meltzer@va.gov

PRACTICE FOR SALE - BALTIMORE, MARYLAND

Established 40+ year old well-rounded practice of both surgical and non-surgical care with special emphasis on sports medicine. Medicare and BS/private insurance base, no Medical assistance. Needs to transition to a confident well trained individual. Purchase can include building. Contact:  podiatrypracticesale@gmail.com

ASSOCIATE POSITION - NEW JERSEY 

Associate Wanted for Central NJ offices. Looking for highly motivated self starter to build/expand practice locations. Great part-time opportunity for the right candidate. Email your CV with references to ejema@aol.com 

ASSOCIATE POSITIONS - TEXAS

TEXAS licensed podiatrists needed in San Antonio and Austin. Great paying positions for full or part-time. Well-established, unique mobile podiatry practice servicing senior living facilities. Business office location with excellent support staff for your assistance and scheduling. Check us out before looking elsewhere. Find us at www.footmobile.com. Reply with cover letter and CV to doctor.cohen@yahoo.com with a cc: to lisa.schulze@yahoo.com or call us at 210-495-6477.

ASSOCIATE POSITION - SOUTHERN CALIFORNIA

Full-Time Associate needed for busy multi-office locations in LA, Orange, San Bernardino and Riverside counties. SIX FIGURE SALARY PLUS BENEFITS!! Knowledge of Spanish is helpful. Good mix of office patients, house calls, some surgery, etc. NO NURSING HOMES!! Needed in July, 2012 or sooner. If interested, please send contact information and CV to scpodgroup@yahoo.com

ASSOCIATE POSITION - UPSTATE NEW YORK

Outstanding Opportunity. Our medical surgical group is recruiting a well-trained licensed podiatric physician. Located in Beautiful upstate NY. Full hospital privileges, as well as working with two residency programs. Must be highly motivated and great with patients. Opportunity for growth. Competitive salary and benefit package. Please send CV to associateinfoot@yahoo.com

SOUTHEAST GEORGIA- SAVANNAH & SURROUNDING AREAS

Beautiful weather year round & near the Coast. Opportunity for Early Buy-in. Seeking podiatrist looking to build a career & long-term relationship. Either established practicing physician or new residency graduate. Must be PSR-24/36 trained. Multiple locations. Full range of services with new facilities. E-mail cover letter & CV to melissafoot@pol.net

ASSOCIATE POSITION - EAST CENTRAL NEW JERSEY

Well established practice needs a career-minded podiatrist for associate position leading to Fast Track Partnership. Competitive salary/benefits. Busy practice. Great location. Board Certification a plus. Part-time or full-time. Immediate availability, but will wait for best candidate. GardenStateDPM@aol.com

ASSOCIATE POSITION - KANSAS CITY, MISSOURI

I'm not just looking for an associate. I am looking for a doctor who wants to build a highly successful career with a doctor who is as committed to their success as he is to his own. Go towww.YourFutureInPodiatry.com to find out about this opportunity.

ASSOCIATE POSITION - SOUTHERN KENTUCKY

Available in beautiful southern Kentucky in progressive, multi-office practice with 6 providers. Excellent base salary, malpractice, full benefit package with 2-year track to partnership. Looking for someone that wants to grow with our practice, work hard and develop relationships with local hospitals and surrounding communities. Strong communication skills, bedside manner and willingness to learn a must. Narrow window for interviews: email CV and letter of interest before March 1: footdocky@gmail.com

ASSOCIATE POSITION - CENTRAL NJ

Looking for a three-year surgically-trained associate who has entrepreneurial spirit. Partnership guaranteed within three years for the right person. Must be very outgoing and personable. Great opportunity for a person who is confident and a go getter. drwfoot@verizon.net

ASSOCIATE POSITION - NORTHEAST GA

Well-established 18 year practice in Northeast Georgia seeking full-time associate leading to partnership. General podiatric care with moderate amount of surgery to be done in local hospital or surgery center. Competitive salary and benefits. Please respond by email to: Fivetoes1946@aol.com

ASSOCIATE POSITIONS - MULTIPLE STATES

Podiatrist Needed in Missouri, Nebraska, Iowa, Minnesota, North Dakota, South Dakota, Ohio, Texas, Colorado, Oregon, Washington, Arizona, Massachusetts, Rhode Island, Wisconsin, Indiana, Oklahoma, Connecticut and Vermont. Expanding multi-state medical practice seeking podiatrists to service long-term care community residing in nursing homes and assisted living facilities. We offer an established patient base, scheduling, equipment allowance and cover travel expenses. Provide generous compensation, bonus opportunities, disability, health insurance benefits, malpractice coverage and flexible scheduling. Looking for a Podiatrist with excellent skills, able to provide expert and compassionate care to patients. Email CV to: careers@aggeus.org or call 773-770-0140 x300/x305. www.aggeus.org

ASSOCIATE POSITION - MARYLAND

Looking for 3rd associate. Must be personable, well trained and highly motivated. Great locations in Southern Maryland, including an Ambulatory Surgical Center. We currently have EHR, digital radiography, dispensing center and PADNet. Looking for immediate hire! Please send CV to:myfeetfeet@aol.com

PART-TIME PODIATRIST NEEDED - LOS ANGELES, CALIFORNIA

Busy podiatrist looking for assistance with patients located in facilities, homes, office, etc. Flexible hours, independence, and great compensation. If interested email CV to or call Terri at 323-353-8103.homefootcare@hotmail.com

ASSOCIATE POSITION – FLORIDA

Emerald Coast on the North Shore of the Gulf of Mexico, a well-established group practice with multi-offices, seeking an associate with opportunity for partnership for a PSR-24/36 Doctor well-trained in foot/ankle/diabetic problems/wound care/surgical and medical podiatric care, covering 3 area hospitals, NO nursing homes. e-mail letter of interest, CV, and references to basewedge@yahoo.com

EQUIPMENT FOR SALE

Koven Doppler, Synthes Titanium Mini Frag screw set, Zimmer & Hall Micro 100 set (all 5 heads including wire driver), Two full major surgical instrument sets, miscellaneous surgical tools including osteotome set (curved & straight). All German stainless steel. Best offer. Retired due to illness. Call 586-675-4311 or 440-285-2827. Dr. Gary Docks.

EQUIPMENT FOR SALE

Cosman Radiofrequency Generator for Sale! Model RFG-1B Like New Condition. Comes with Manual, 17 Dispersive Electrodes, 2 CSK-R 10 Kits, 2 CSK-R 5 Kits, 11 CC RF Cannula 10cm/10mm/22G, 4 CC RF Cannula 10cm/5mm/22G, 1 - 5cm RF Cannula/22G (4mm Sharp Curved Tip), & 2 Replacement Fuses. Asking $10,500 OBO Please Contact: nffpbosk@gmail.com

EQUIPMENT FOR SALE

Koven Smartdop 45 hand-held Doppler w/training CD, operator's manual and reference guide. PC compatible (used less than 20 hours). Cryostar cryosurgery- tabletop unit with (2) Hand-PC (4) probes (2 dull, 2 sharp) for Morton's neuroma, plantar fasciitis, and fibromas. Comes with rolling carrying case, training CD & instruction manual. Also CryoPen, CryoProbe case, several N2O cartridges (for warts, etc.). Diabetic inserts, all different sizes. Please email me at young_jolene@yahoo.com

EQUIPMENT FOR SALE - COOL BREEZE COOT TOUCH VARIA

Cool Breeze Coot Touch Varia. Very low use. You won't find a laser at this price. $39,500. Has about 19 hours of use of it. E-mail for photos, and ask any questions. Will go fast. David Zuckerman DPM 856-229-2939 footcare@comcast.net

EQUIPMENT FOR SALE - ARE YOU CONSIDERING A PADNET UNIT?

If so, save thousands of dollars on a lightly used unit with venous option and laptop. Why pay full price for our unit which is in perfect working order. We also have a SIUI CTS 200 ultrasound with 7 mHz probe and SONY printer. Let's Make a Deal!! Call 516-220-8258 today.

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 516 476-1815 PODO2345@AOL.COM

PM News Classified Ads Reach over 13,500 DPM's 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 13,500 DPM's. 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.

• 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.