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PMNews
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| PM News | |
The Voice of Podiatrists
Serving Over 20,000 Subscribers Daily
February 22, 2021 #6,891  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management https://podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2021- 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 |
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Have you been fully vaccinated for COVID-19?
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| PODIATRISTS IN THE COMMUNITY | |
FL Podiatrist Becomes Board Certified by ABLM
Jenneffer Pulapaka, DPM has become certified with the American Board of Lifestyle Medicine (ABLM). Dr. Pulapaka has received the official seal of approval and mastered the discipline from ABLM which signifies specialized knowledge in the practice of lifestyle medicine and distinguishes a physician as having achieved competency in lifestyle medicine.
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Dr. Jenneffer Pulapaka |
Most physicians and health professionals receive little to no education on nutrition, exercise, rest, or social connectivity, which are the four pillars of lifestyle medicine. Dr. Pulapaka is the first podiatric physician to become a certified diplomate of the ASLM. She will use her acquired lifestyle medicine knowledge to prevent, arrest, and reverse chronic disease in a scientific, evidence-based manner.
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| PODIATRIC PRODUCTS AND SERVICES IN THE NEWS | |
TX Podiatrist is Lead Clinical Investigator in Nerve Graft Study
Axogen, Inc., a global leader in developing and marketing innovative surgical solutions for damage or transection to peripheral nerves, has announced completion of a pilot phase analysis for its REPOSE clinical study. “Neuroma pain can be a challenging clinical condition to manage, and results from historical treatment options, both surgical and pharmacological, can be limited,” said Craig Thomajan, DPM, peripheral nerve surgeon at Austin Foot and Ankle Specialists, and the lead clinical investigator for REPOSE.
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Dr. Craig Thomajan |
“We are pleased with the early successes from REPOSE and are excited to continue this meaningful study. Access to impactful technologies for the treatment and prevention of symptomatic neuromas offers patients an opportunity for reduced pain and improved quality of life,” said Dr. Thomajan.
Source: Street Insider [2/18/21]
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| PRACTICE MANAGEMENT TIP OF THE DAY | |
Nine Ways to Improve Your Patient Communications - Part 3
Research has demonstrated the connection between better communication scores and improved patient adherence, lower re-admission rates, improved mortality rates, lower malpractice risk, and reduced cost per case. No other area of medical knowledge or technical skill has a greater impact on our patients. Try some of these suggestions.
1. Choose Positive Words
To communicate intent, use the words “for you” and “with you” as often as possible. Consider the difference: “I will call your family to update them” or “I will call your family for you to update them.” Similarly, see the difference between “I am here to make sure your care is coordinated” versus “I am here with you to make sure your care is coordinated.” Also make a point to show appreciation. Say thank you, pay a compliment, or express your thanks to your patients while they are going through a potentially difficult and challenging experience. For example, “Thank you for coming in today,” or “I appreciate all the effort you are investing in your recovery.” Patients often do not expect gratitude, and that makes expressing it particularly heartwarming.
Source: Rohit Uppal Logan Lutton, Physicians Practice [2/9/21]
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| QUERIES (MEDICAL-LEGAL) | |
Query: Subpoena to Produce Documents
When served with a subpoena to produce documents for a patient suing a thirdparty (like an insurance company or an employer) can you charge for the cost of production of these documents? If so, then how much?
Mark Davids, DPM, Orange City, FL
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| QUERIES (EMR) | |
Query: Converting Paper Charts for EHR
Being in practice a long time, I have many years’ worth of paper charts. Has anyone come up with a good system to go paperless and scan the information in the old charts? We have an EMR since 2005, but I need the information prior to that year.
Harry Baldinger, DPM, Suffern, NY
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| RESPONSES/COMMENTS (CLINICAL) - PART 1A | |
From: Charles Morelli, DPM, Ben Pearl, DPM
Thank you Dr. Ross for mentioning Viagra as something to be concerned with regarding a patient's blood pressure as it is a vasodilator and pressure can be affected, as it had slipped my mind. He reminded me that I also have suggested both Viagra and Cialis to both male and female patients as a potential first-line defense against symptoms associated with Raynaud’s due to the very fact that they are vasodilators. You will get some raised eyebrows, but once you explain its mechanism of action, it is taken seriously and these patients will do almost anything to address their pain and reduce their chances of potential serious complications.
Charles Morelli, DPM, Mamaroneck, NY
I would add the use of a high-quality thin wool sock. A vascular interventionalist I know uses Viagra in very low doses, but I have not tried this for patients yet and agree with a cautionary advice about using dual treatments that can cause hypotension.
Ben Pearl, DPM, Arlington, VA
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| RESPONSES/COMMENTS (CLINICAL) - PART 1B | |
From: Howard Dananberg, DPM, Paul Jones, DPM
Here is a treatment I’ve used successfully for many years... 200mg of coenzyme Q10 given QD. It works in just several days and is very safe.
Howard Dananberg, DPM, Stowe, VT
I've mentioned before that Raynaud's phenomenon/chilblains often responds well to L-methyl folate. It doesn't interact with any medications. It is commonly used for depression, diabetic neuropathy, Alzheimer's disease, and even as a prenatal vitamin. The only thing recommended is to take with B12 to avoid anemia. It often comes mixed with the B12 to simplify this process. It may be contraindicated with cancer or a history of seizures. If this is the case, have them clear with their PCP prior to starting. In less severe cases, I have them use it seasonally. It can be used in the pediatric through geriatric patient.
There is no problem having the patient start or stop on a dime. Sometimes there can be some temporary insomnia for the first two weeks when first starting the medication. So have them take qd in the AM for a couple of weeks. The patient usually needs to use at least 3 months to decide if it will work for them. It is easier to use without side- effects than Minipress or Nitro paste, and possibly even cheaper. As Allen Jacobs, DPM has mentioned before, a good source of this product is through EBM medical.
Paul Jones, DPM, Happy Valley, OR
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1 | |
From: George Jacobson, DPM
Thank you Dr. Jacobs for bringing this medical article to the attention of our profession. I think we can all visualize the potential foot problems outlined in the article, as we see them daily. It is perhaps the best foot prevention and intervention article ever written for the medical profession. It educates the practitioner when to refer patients to the appropriate specialty (frequently podiatry) for routine and urgent care.
George Jacobson, DPM, Hollywood, FL
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 2 | |
From: Leonard A. Levy, DPM, MPH
The comments by Glen N. Robison, DPM are absolutely on point. I would be glad to be part of the debate he suggests. The focus should not only be on our colleagues from both the allopathic and osteopathic community but also, equally important, on the podiatric medical profession including the podiatric medical education community - the sooner the better.
Leonard A. Levy, DPM, MPH, Ft. Lauderdale, FL
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Whew!! 2021 IS FINALLY HERE!!
The New, Exclusive, More Inclusive 2021 Podiatry Coding Manual
From Michael G. Warshaw, DPM, CPC is available immediately!!
It is fully updated! It contains the most up-to-date information to aid in coding and billing for appropriate reimbursement and documentation to support what was billed including the 2021 E/M CHANGES. You will again 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 including shipping!!!
Available in Book and Flash Drive Formats
No credit card? No problem. Just mail a check or money order to:
Michael Warshaw, DPM, CPC, 2027 Bayside Ave, Mount Dora, FL 32757
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| RESPONSES/COMMENTS (CODINGLINE CORNER) | |
From: Justin Sussner, DPM
About 10 years ago, my wife was having some upper GI symptoms. Upon a recommendation, we made an appointment with a local GI group. We were told during that call that she would have to prep before the appointment for full colonoscopy and endoscopy. Thinking that it would save time once the doctor interviewed and examined her, and if it was indicated, we followed the instructions.
Upon prepping, and going to the appointment, filling in the paperwork, they attempted to bring us directly to the procedure room. Never seeing a doctor yet! We protested and refused. We were told this was standard procedure, and everyone coming in goes through this. We demanded the doctor consultation first. We found out, after the fact, that they were known as a scoping factory. We never went back there again. Do what is appropriate, nothing more, nothing less.
Justin Sussner, DPM, Suffern, NY
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoes of the Day
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How Patrick Mahomes got turf-toe? |
Source: blog.annascholz.com
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MEETING NOTICES AND WEBINARS
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NEED CME CREDITS FAST?
PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME
You can Earn up to 50 Continuing Education Contact Hours (CECH) Online
Earn 15 CECH only $249 (less than $17 per CECH)
podiatrym.com/cme.cfm
All required credits can be taken online for AL, AK, AR, CA, CO, DE, HI, IN, KS, LA, MA, ME, MI, MI, MS, NV, NJ, NM, ND, OH, OR, RI, SC, SD, UT, VA, VT, WV, and WI
Partial required credits can be taken online for AZ, FL, GA, ID, KY, IL, ID, IA, MD, MN, MO, MT, NE, NH, NY, NC, OK, PA, PR, TN, TX, WA, and DC
Choose any or ALL from 25+ CECH Category-1 articles posted
* NY podiatrists whose licenses expire from 3/2/20-5/1/21 may take all credits online
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| CLASSIFIED ADS - ASSOCIATE POSITIONS AND FELLOWSHIPS |
WOUND CARE FELLOWSHIP - NEW YORK
CPME APPROVED 12 month fellowship beginning July 1st, 2021. Hospital and clinic environment, with onsite hyperbaric medicine. Working with infectious disease, dermatology, as well as, general, vascular, and podiatric surgeons. Must have completed a PMSR residency. Please contact drarnoldhertz@aol.com or jtfootcare@gmail.com. EOE employer.
ASSOCIATE POSITION - UPSTATE SOUTH CAROLINA
Well established practice is looking to expand and have eventual partner and possible even transition to possible buyout. Compensation along with 401K, health insurance, malpractice, vacation, etc. Look for pleasant person, who is desiring to become Rearfoot and Ankle certified along with skills in wound care and general footcare. We have a large referral base and new office, digital x-ray, lasers, EMR, etc. Please send CV to scfootdoc@gmail.com
GREAT OPPORTUNITY IN RURAL NORTH CAROLINA
20+ year old practice in North Carolina, all aspects of podiatry. Loyal patient following, physician referral base. EHR, staff in place. Low overhead. Great potential for any type of podiatrist. Will stay for transition if desired. 252-813-3136.
ASSOCIATE POSITION - NW FLORIDA/COASTAL ALABAMA
Busy, well-established practice, EHR, digital x-ray, diagnostic ultrasound. Offering competitive six-figure salary w/bonus structure, health/malpractice insurance, and PTO. PSR-36 required. Partnership path to motivated and compassionate associate. Must obtain Florida and Alabama licenses. Send CV: Brentmharwood@gmail.com
ASSOCIATE POSITION - SOUTHWEST, FL
Immediate position for busy practice in Sunny Southwest, FL. ABFAS RRA BC/BQ. EMR, E x-rays, US, DME. Base salary + bonus w, PTO, 401K, fees, health benefits. Also 1 ACFAS fellowship avail, must be BQ ABFAS by start of program 8/2021: DrLam@NaplesPodiatrist.com
ASSOCIATE POSITION – NORTH CAROLINA
Immediate Full-time or Part-time. General podiatry. Offices in Durham and Oxford. Diabetic foot care, diabetic shoes, custom orthotics/AFO, reconstructive surgery, wound care, shockwave therapy, laser nail, hospital/surgery center. Ideal for experienced podiatrist or recent graduate. Salary plus bonus and benefits. Must have NC podiatry license and BC/BQ. oxfordjob123@gmail.com
FULL TIME PODIATRIST - NEW JERSEY
We are a fast-growing podiatry practice in New Jersey with multiple locations and Doctors. We are currently looking for a full-time motivated and caring Doctor to join our busy practice. Some benefits include: competitive six-figure salary, generous, guaranteed bonus structure, health insurance (including vision & dental), paid vacation time off, paid malpractice insurance and CME time off. Great prospects for experienced Doctors as well as new Associates. This is an excellent opportunity to expand your Podiatric medical and surgical experience in an office-based practice! If interested, please submit your CV to DrSamofal@PodiatryCenterNJ.com
ASSOCIATE POSITION – NEW YORK
Seeking a highly motivated individual interested in evolving in private practice to a wealthy and knowledgeable affiliate entity with a large surgical based podiatry group. Surgeons with a two or three year residency preferred. Come join and Let’s keep New Yorkers on their feet! Please email your CV at podiatrynewyork@gmail.com
ASSOCIATE POSITION – NORTH NEW JERSEY
Seeking bilingual, highly surgical trained associate to join a fast-growing multi locations, North Jersey podiatry group practice. Motivated, entrepreneurial, individual who desires to join a private independent practice. Partnership opportunity, with full practice medical management services in house. Send your CV kmercado@footandankleps.com
MOTIVATED PODIATRIST WANTED - CENTRAL TEXAS
Seeking full-time motivated podiatrist to join our busy practice in Waco, Texas. Candidates should be proficient in diagnosing/treating all foot and ankle related pathology including trauma, rear foot and ankle reconstruction, forefoot procedures, wound care, and diabetic foot related conditions. We are offering a competitive compensation package. Specific details of the compensation package will be discussed with interested qualified candidates. Please email your CV to aszanto@wacofootcare.com www.wacopodiatry.com
ASSOCIATE POSITION - ABINGDON, MARYLAND
Immediate associate position for a well-trained, highly motivated and compassionate individual. Rapidly growing, well established practice with a loyal patient following and strong physician referral base. Offering competitive salary with bonus structure, 401K, PTO, CME allowance, health (including vision and dental) and malpractice insurance. All aspects of podiatry with emphasis on wound care/diabetic surgery/limb salvage. Please email cover letter and CV to michael@mkblockdpm.com
ASSOCIATE POSITION - CENTRAL PA
Once in a lifetime opportunity for a highly motivated physician. We are located in the fastest growing county with a top-rated school district. Our newly expanded office features digital x-ray, MLS Laser, EPAT, DME, 4-D Orthotics, ABI, extensive OTC products including orthotics and footwear. We service a large hospital system and train residents in a 3-yr PMSR. Must be BQ /BC FF/ RRA and interested in Limb Preservation. Offering six figure salary with sign on bonus, PTO, full medical/dental, STD/LTD, 401K, malpractice insurance, all dues and CME paid, partner opportunity. Send CV to footpainpros@gmail.com.
PM NEWS CLASSIFIED ADS REACH OVER 20,000 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 20,000 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 FOR SALE - BOCA RATON FLORIDA
Great central location. 35 year practice, grossed $600,000 in 2020, without surgery or wound care. Ready to retire but willing to stay for transition. Averaging 30 new patients a week. Sammy EMR, digital X-ray and Pinpointe laser. Email - mbk418@gmail.com.
TRI-STATE PRACTICE IN MIDWEST FOR SALE
Practice is oriented towards surgery, orthopedics, and routine foot care. Office building and equipment are included. Hospital privileges are available for board certified applicants. Town is located close to recreational areas which include watersports and shopping. Additional information upon request. Footdoc2@hotmail.com
PRACTICE FOR SALE - WEST COAST/TAMPA FLORIDA SUBURB
World class beaches, top rated communities, water sports, golf, reasonably priced real estate, active lifestyle and “Champa Bay” pro sports await you. Unique opportunity to own a reputable, profitable practice. Control rental overhead as this medical condo is also available for purchase. Practice in a well-integrated foot & ankle environment, including hospital privileges. Serious inquiries only please email Sunpodiatry5@gmail.com.
PRACTICE FOR SALE - TEXAS
COVID Proof practice grossing 500K in 2020 - 2 ½ days weekly. Primarily biomechanics - orthopedics. Easily double gross by retaining surgery & wound care. Freestanding office included with 4+ TX rooms. No money down owner financing available. Can stay for transition. Contact fjhenry2111@yahoo.com
PM NEWS CLASSIFIED ADS REACH OVER 20,000 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 20,000 subscribers. For details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details.
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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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- To Post a message, send it to: bblock@podiatrym.com
- Notes should be original and may not be submitted to
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RE: (Topic)
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- 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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