The Voice of Podiatrists

Serving Over 13,500 Podiatrists Daily

February 24, 2012 #4,393 Publisher-Barry Block, DPM, JD

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PA Podiatrist Provides Advice for High-Heel Wearers

If you’re going to wear heels that are too high, do some leg stretches beforehand. “Using one of your husband’s ugly old ties, sit on the floor with straight legs and wrap the tie around the ball of the foot,” says Philadelphia podiatrist Dr.  Mallory Eisenman. “Grab on to each end and pull.” A resistance band will do the trick, too.

Dr. Mallory Eisenman

If your foot is irritated in a specific area because of the shoe itself, have a shoemaker spot the shoe (stretch it in just that area) rather than stretch the entire shoe. That way, it won’t become too big and cause your foot to slide. And there’s always inserts. “All over-the-counter products are about the same,” says Eisenman. “If it feels good, use it.”

Source: Sarah Scarpa, Philadelphia Magazine 

NYCPM Faculty Member Selected by NIH to Serve as a Grant Reviewer

New York College of Podiatric Medicine Faculty Member Peter Barbosa, PhD, a professor in the College’s Division of Pre-Clinical Sciences, has been selected by the National Institutes of Health (NIH) to serve as a grant reviewer. NIH policy is intended to ensure that grant applications submitted to the NIH are evaluated on the basis of a process that is fair, equitable, timely, and free of bias. The NIH dual peer review system is mandated by statute in accordance with the Public Health Service Act and federal regulations governing "Scientific Peer Review of Research Grant Applications and Research and Development Contract Projects."  

Dr. Peter Barbosa

The first level of review is carried out by a Scientific Review Group (SRG) composed primarily of non-federal scientists who have expertise in relevant scientific disciplines and current research areas. The second level of review is performed by Institute and Center National Advisory Councils or Boards. Councils are composed of both scientific and lay members chosen for their expertise, interest, or activity in matters related to health and disease. Only applications that are favorably recommended by both the SRG and the Advisory Council may be recommended for funding.

Duchess of Cornwall Commends UK Podiatry Society on Its Centennial 

Camilla Parker Bowles joined celebrations in honour of the centenary of Britain's first podiatry organization. The Duchess of Cornwall was presented with a sculpture of Her Royal Highness by The Society of Chiropodists and Podiatrists to mark 100 years of the group's existence. She commended the organization's hard work for the past century and said that it does a fantastic job at "keeping us all on the road" and that "without chiropodists and podiatrists, we wouldn't have a leg to stand on." 

Camilla Bowles, The Duchess of Cornwall

The society, formed in 1912, came to being in 1945 after five English chiropody organizations joined together to create the British branch of the European body. Stuart Baird, chairman of the organization, said: "We are extremely proud of the work and advancements made by the podiatry profession over the last 100 years. We now have consultant podiatrists employed in the NHS in fields of podiatric medicine and podiatric surgery."

Source: Megan Smith, Mediplacements [2/20/12]

Diabetics Must Take Preventive Measures to Avoid Complications: NY Podiatrist

Complications due to diabetes are the No. 1 cause of lower-leg amputations and account for nearly 86,000 amputations per year. Doctors estimate almost 50 percent of these amputations could have been prevented if the person had taken better care of their feet. "I can't emphasize enough how important it is for a person with diabetes to pay rigorous attention to their feet. Foot infections are the most common issue for a person with diabetes and are more severe and take longer to heal than in a person without diabetes," says Dr. Alan Farber, a doctor of podiatric medicine. Farber added, "Proper foot care is simple and includes things like using an antifungal daily, not only to heal, but also to prevent fungal infections, and using a moisturizer daily to heal and prevent dry, cracked skin."

Source: WDIV Detroit [2/21/12]

Query: Staple in Diabetic Shoe

I dispensed diabetic shoes from a leading shoe company. The patient called me the next day to inform me that he found two sharp nails inside the shoes at the hallux region. I drove to the patient's house and found a huge staple with the exposed 2 arms inside the shoes. My patient, who is neuropathic, luckily felt the sharp staple and did not sustain any injury, but he demanded compensation. The patient did not call the police or make an incident report. How should I handle a situation like this ethically to be fair to the patient and to the company? Bear in mind that if the patient calls Medicare, I think the company will be hurt. I have the shoes in my possession.

Jonathan Michael, DPM, Bayonne, NJ

RE: Hallux Rotation S/P Bunionectomy (Scott Hughes, DPM)
From: Tip Sullivan, DPM

I think we have all seen this particular problem. The rule is: make sure you are happy with your result when the patient is on the table because any problems will not magically get better when your patient goes home. First, make sure that you have no tracking at the MTPJ, as determined by the quality of ROM. If you do, then check the soft tissue for something that you may have missed, or that needs releasing. I  assume that the sesmoids are structurally under the first met head, which is crucial. If there is a complete release and the problem still exists, it is most likely is in the adaptation of the articular cartilage of the 1st MTPJ.

Clinically, I load the foot and...
 
Editor's note: Dr. Sullivan's extended-length letter can be read here.

RE: Achilles Tendon Pathologies Caused by Crestor (Norm Wortzman, DPM)
From: Michael M Cohen, DPM

While not a direct link to Crestor, please be aware that there is a well-documented correlation between hyperlipidemia/hypercholesterolemia and Achilles tendon pathology. This is an opportunity to treat the patient not only for the Achilles pathology, but as a screening tool - especially when xanthoma is suspected.
 
Michael M Cohen, DPM, Miami, FL, Michael.Cohen1@va.gov

RE: Calcaneal Pain (Michael Ryan, DPM)
From: Jeffrey Root

Some of these seemingly “rigid cavovarus” feet have an acquired element of this deformity that is potentially reducible over time with functional foot orthotic therapy. Although most podiatric physicians recognize forefoot supinatus (an acquired inverted position of the forefoot relative to the rearfoot), fewer seem to recognize that the plantarflexed, adducted, and everted non-weightbearing position of the forefoot in the cavus foot may be a partially acquired condition as well.

Root, Weed, and Orien described this condition in Normal and Abnormal Function of the Foot (pages 344-345) as follows: “As the rearfoot inverts with subtalar joint supination, the mechanical advantage of the peroneus longus muscle as a plantarflexor of the 1st ray is increased. Gradually, the peroneus longus...

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

RE:  Do Runners Need Orthotics? (Kevin Kirby, DPM)
From: Robert Scott Steinberg, DPM

I read Dr. Campitelli's comments on Podiatry Today's forum. I had to read it three times to believe that a podiatrist could be so clueless about orthotics and shoes. Dr. Kirby has given me the answer. Dr. Campitelli gives all the appearances of having been "bought" by Vibram 5-Fingers. He is using unscientific urban rumor to support his position. It is a clear violation of his oath and the code of ethics of the APMA and his state society. What will be so damaging is that he will be quoted by this tiny faction of the in-need-of-an-ego-boost subset of runners. On a positive note, it's good for my practice.

Robert Scott Steinberg, DPM, Schaumburg, IL, doc@footsportsdoc.com

RE: Switching to Comcast for Phones and Internet (Barrett E Sachs, DPM)
From: Mathew M. John, DPM
 
I have been using Comcast business class for the past three years now and have been very happy with them. Switching has cut my phone/Internet costs by half, and I now get cable TV as a bonus. The one time that our phones/Internet were down, Comcast had a crew that day working on the line that was damaged, and it was fixed within two hours. Other than that one time, I have had no problems here in Atlanta. I would make the switch.
 
Mathew M. John, DPM, Marietta, GA, footdoc@afcenters.com

RE: Overburdened by Paperwork (Joseph Borreggine, DPM)
From: Howard R. Fox, DPM

With all due respect to Dr. Borreggine, if you’re losing patients because of an excessive amount of paperwork for a new visit, you might want to consider what you’re asking them to complete before they get to your office. My patients complete a simple, one-page registration form that captures basic information. The opposite side of this form is a simple privacy policy.
 
We don’t use any forms for medical histories, medications, allergies, etc. Every new patient is brought into the consultation room where I personally take their medical history. It takes less time for me to ask pointed, relevant questions that relate to their issues than it would take for them to tell me about the boil on their buttocks when they were age 16. Taking your own history helps establish the doctor-patient relationship. On average, it takes about 2 minutes for a patient to fill-out the registration form and sign the privacy statement, during which time, we photocopy their insurance card, and less than 5 minutes to sit in a non-medical room and talk about why they need my help.
 
Having the unfortunate experience of being a patient myself in more than my share of doctor’s offices, I can tell you that it’s frustrating for the patient as well as the doctor to feel like you’re buying their house when you come to a new doctor. First impressions last a long, long time.
 
Howard R. Fox, DPM, Staten Island, NY, fox.howard@gmail.com

RE: Podiatric Physicians Practice Podiatric Medicine: RIP Podiatry (Leonard Levy, DPM)
From: Paul J. Maglione, DPM

As long as there is a shortage of good residency programs, we will continue to be "podiatrists."  As long as TV spots and magazine columns are filled with articles by our leaders on cutting toe nails straight across, we will always be "podiatrists."  As long as we criticize and shun new technologies to our profession, we will remain "podiatrists."  And as long as we continue to participate in insurance companies that pay us whatever and whenever, we will always be "podiatrists."

Paul J. Maglione, DPM, Ossining, NY, drmaglione@aol.com

Editor's note: Dr. Huss' extended-length letter from yesterday's PM News can be read here.

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

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 - CENTRAL 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

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

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

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

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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.

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