The Voice of Podiatrists

Serving Over 14,000 Podiatrists Daily

February 25, 2013 #4, 700 Publisher-Barry Block, DPM, JD

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NY Podiatrist Uses Prolotherapy to Treat Achilles Tendon Disorder

Surgery left Fay Mihos with an Achilles tendon that was not completely attached to her bone. By her third pregnancy, she could hardly walk. When Dr. Robert Kornfeld first met Fay, her Achilles tendon was very, very swollen. "As a podiatrist, I’m going to focus on the foot. But I also focus on the mechanisms of the immune system that are involved in healing," said Kornfeld.

Dr. Robert Kornfeld

Kornfeld says anti-inflammatory drugs may reduce pain, but they also inhibit the body’s ability to heal. So he prefers natural therapies. says he supports the body’s healing process with diet, supplements, and therapies like MicroVas. It contracts leg muscles so they pump blood into the injured area. Another tool is called prolotherapy. It’s an injection of minerals to stimulate healing. Fay came in desperate for relief, but instead of just relief, she says she was healed. And a sonogram of her Achilles tendon proves it.

Source: Mary Mucci, Long Island Cablevision Channel 12

TX Podiatrist Discusses Importance of Proper Fitting Running Shoes

Dr. Ana Urukalo was in the KXAN studio on Saturday morning to talk about preparing your feet for running season. Urukalo, a podiatrist at Austin Diagnostic Clinic, says it's important to ensure you have a running shoe with a proper fit.

Dr. Ana Urukalo

Make sure you properly measure your foot length, width, and arch. Allow extra room at the toe. Look for a secure fit in the mid-sole. Mike sure there is no slipping at the heel. And try different lacing techniques.

Source: KXAN [2/23/13]

Query: Reasonably Priced EMR with Good Tech Support

I presently use the PrognoCis EMR system and have great difficulty with their tech support program. Their tech support is based in India, which creates difficulty. Can anyone recommend a podiatry-specific EMR system which is reasonably priced and has decent IT support?

Mary Carlson, DPM, Williston Park, NY

Query: Pros and Cons of Answering Services

I would like to hear any pros/cons from colleagues using answering services.

Mark K. Johnson, DPM, West Plains, MO

RE: Replacing Implant (Don Shrum, DPM)
From: Bret Ribotsky, DPM, Robert Bijak, DPM

The implant is unstable. The screws are broken. The patient is 74 years old. My suggestion is to try an articulated AZ Brace, as this way, the patient can still be active. Surgery involving replacement is a Pandora's box.

Bret Ribotsky, DPM, Boca Raton, ribotsky@gmail.com

Aside from the broken screws at the tibi-fibular syndesmosis, the  large bone cyst in the fibula, and what almost looks like an avulsion fracture at the inferior aspect of the fibula, I suggest that you do nothing surgically to this 74 year old man. Treat him conservatively; otherwise you risk amputation and death in this age group. 

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

RE: Fixation vs Nonfixation of Osteotomies
From: Thomas A. Graziano, DPM, MD

The concept of performing osseous surgery through a minimal incision technique makes sense in certain situations. The availability of cannulated screw systems lend themselves well to percutaneous fixation. I believe that procedures that we as podiatric/orthopedic surgeons perform routinely can be handled in such a fashion in capable hands. Capable hands means those who have had formal traditional surgical training and experience with a working knowledge of the anatomy and also the physiological aspects of bone healing. 

As I see it, the disparity and criticisms that have arisen over the years from our podiatric and orthopedic colleagues are aimed at those minimal incision surgeons who never had formal traditional surgical training. In years past, those untrained physicians saw their "entry" into podiatric surgical care through a minimal incision approach.

I suppose they felt they couldn't get into much trouble if they didn't open the foot. The notion that "bones will seek their own level" is antiquated thinking. Today, our patients deserve the highest level of care, including technology that can provide reproducible results. Minimal incision techniques, combined with sound surgical and biomechanical principles, will provide those results.  Open and closed techniques can live in the same house as long as their foundation is built not only with rigid internal fixation, but with common sense.
 
Thomas A. Graziano, DPM, MD, Clifton, NJ, TGrazi6236@aol.com

RE: Source for Mental Health Problems for Physicians (Name Withheld)
From: Name Withheld

When a licensed health practitioner has an "impairment" - whether drug addiction, alcoholism, or mental health problem, it is a serious matter. Typically, the State Boards look at this condition as a reason to suspend a licensee.

When a doctor, nurse, etc., sees another doctor for professional help (i.e., psychiatrist), most states REQUIRE that the licensee be reported to the respective state "Health Practitioner Monitoring Program." (They have various names). Most states have a Health Practitioner Monitoring program. These are usually entities hired by the Boards to help...

Editor's note: Name Withheld's extended-length letter can be read here.

RE: Preparing for the Part 1 ABPS Foot Surgery Exam (Eric Cwynar, DPM)
From: Martin V. Sloan, DPM, Alan Sherman, DPM

In preparation for Recertification Exam (ABPS), I've found extremely helpful The P. I. Manual, A Handbook of Podiatric Medicine and Surgery, The Podiatry Institute, Tucker, GA. D. Scott Malay, Editor copyright 1999. Many of the questions on this year's practice exam are taken directly from this very comprehensive yet manageable text.

Martin V. Sloan, DPM, Abilene, TX, mvs32154@gmail.com

I took the exam many years ago, but what I did was read/review every issue of JFAS, JAPA and  major articles in JBJS and the like for a year prior to taking the exam. Today, I would watch as many PRESENT Podiatry lectures as I could. You have on PRESENT Podiatry many of the best teachers in the field available as your private tutor, viewable wherever you have an Internet connected computer. I just wish I had that when I was preparing for the exam.

Alan Sherman, DPM, CEO, PRESENT e-Learning Systems, asherman@presentelearning.com

RE: Proper Biopsy for Melanoma
From: Mark Schilansky, DPM

On January 24, 2013 Dr. Harry Goldsmith presented the annual “Simply Coding Seminar” at the NYSPMA Clinical Conference. There were excellent lectures on new codes, proper coding, charting, and audits. New this year, Dr. Goldsmith invited well-respected podiatrists to present clinical scenarios for a panel of Codingline experts to review.

Dr. Bryan Markinson presented a number of dermatology cases, including a case of a patient with a melanoma on the plantar aspect of the foot. The presentation started with a shave biopsy of a suspicious lesion that the pathologist reported as non-invasive in situ melanoma. Additional excisions were performed, culminating with a...

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

RE: Life-Saving Role of Podiatric Physicians (Leonard A. Levy, DPM, MPH)
From: Robert Creighton, DPM

I strongly echo Dr. Levy's call for our profession to "focus seriously" on the relationship between podiatric medicine, cardiovascular disease, and other associated medical problems. Of course, among the top culprits are the metabolic disorders of obesity, metabolic syndrome, and diabetes. These disorders are of epidemic proportions, and we have an invaluable role to play. It seems we still need to figure out exactly what that role is.

Dr. Levy's post mentions the example of treating foot pain for exercise participation. While that is certainly important, I would also say that we need to encourage...

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

ASSOCIATE POSITION - ORANGE COUNTY, NY

Looking for a highly motivated surgical trained podiatrist in the Orange County, NY (West Point area). Hospital, wound center and surgical center affiliated. It is a busy practice that covers hospital inpatients, Wound Center, and takes ER call. The applicant has to be trained in all foot surgery and be able to handle advanced diabetic wound care. The practice is a 1 hour car ride from NYC and is close to hiking, fishing ,skiing and state parks. Please Email a CV and contact info to clsp4@yahoo.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 - SOUTHERN CALIFORNIA

Requiring full-time podiatrist (PSR-24 or greater) in established Practice situated in a foothill community of Southern California. There is an existing patient base and a strong support team. Compensation is performance based with practically an unlimited earning capability. A possible buy-in is negotiable. Send resume to office@uplandpodiatry.com , titled, "Podiatrist".

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 - 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

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

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

PODIATRIC SPORTS MEDICINE FELLOWSHIP - ORANGE COUNTY CA

July 1, 2013 and ending July 31, 2014. $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

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

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

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

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