|
|
|
|
|
PMNews
Browse PMNews Issues
Previous Issue | Next Issue
| PM News | |
The Voice of Podiatrists
Serving Over 15,770 Podiatrists Daily
March 04, 2014 #5,003  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2014- No part of PM News can be reproduced without the
written permission of Barry Block
|
|
| PM NEWS QUICK POLL |
Quick Poll
|
|
Which of the following most closely reflects the malpractice insurance you carry? |
 |
|
Click HERE for Results |
|
|
| PODIATRISTS IN THE NEWS | |
IA Podiatrist Uses Toe and Flow Collaboration to Save Patient's Toe
About six months ago, Anna Edwards broke the little toe on her left foot. No matter what the 51-year-old Sioux City woman did, she couldn't seem to get it to heal. Her foot felt cold, went numb, turned a bluish color and then black. After a visit to her family doctor, Edwards was referred to Dr. Kosta Antonopoulos, a podiatrist with UnityPoint Clinic Podiatry, who examined her foot and discovered that it wasn't getting any blood flow. "I couldn't feel her pulses in her foot," Antonopoulos said. "My antenna went up right away that no matter what I did, I wasn't going to be able to heal this toe ."
 |
|
Dr. Kosta Antonopoulos (photo: Tim Hynes) |
Antonopoulos called Dr. Wade Kang, a vascular surgeon at UnityPoint Clinic, to express his concern about Edward's toe. The risk of amputation, he said, was high as Edwards was a smoker since age 8. Kang ended up implanting a small stainless steel tube called a stent into Edwards' artery to open it up. Antonopoulos refers to his frequent collaboration with Kang as a "flow and toe" model of care. After Kang restores blood flow, Antonopoulos can treat ischemic changes and ulcers. With blood once again reaching Edward's foot, Antonopoulos said her toe began regaining its color. Six weeks later, after some local wound care, he said it was nearly healed.
Source: Dolly A. Butz, Sioux City Journal [3/1/14]
|
|
| PODIATRISTS AT THE ACFAS SCIENTIFIC MEETING | |
Women Runners Prone to Neuromas: AZ Podiatrist
According to Scottsdale foot and ankle surgeon and ACFAS Annual Scientific conference presenter Kris DiNucci DPM, FACFAS, active women who enjoy running are prone to neuromas, especially if they regularly wear narrow shoes and have flat feet. Dr. DiNucci, who is a Fellow member of the American College of Foot and Ankle Surgeons, says the symptoms begin gradually and, if left untreated, progressively worsen. Relief for the symptoms may come by massaging the foot, wearing wider everyday shoes with low heels, and avoiding running and other activities that aggravate the condition.
 |
|
Dr. Kris DiNucci |
"Over the past few years," Dr. DiNucci explains, "there have been many advances improving the outcomes of foot and ankle surgery. In the treatment of interdigital neuromas, many new techniques have been developed from in-office procedures to minimally invasive techniques to allow our patients to return to their running pain-free in the shortest timeframe."
Source: Broadway Fitness World [3/1/14]
|
|
| PODIATRISTS IN THE COMMUNITY | |
NY Podiatrist Receives Freedom Award
Rockland County honored area podiatrist and former U.S. Army Medical Service Corps captain, Dr. Katherine Ward with its annual Freedom Award. The award is given out each year to female veterans who have made a demonstrable impact on the local community. County Executive Edwin Day, who presented the honor to Ward, explained that women often share the same physical and emotional burdens of war as their male counterparts on the front line.
 |
|
Dr. Katherine Ward, second from left, accompanied by family, accepts the honor from Edwin Day, left. |
Ward received a podiatry degree from the New York College of Podiatric Medicine and completed her surgical residency at Catholic Medical Center in Queens before training at Walter Reed Army Medical Center, serving as the chief of podiatry at Walter Reed and Fort Hood and as a captain in the Army during the Gulf War, and in Somalia and Bosnia.
Source: MidHudson News [3/1/14]
|
|
| QUERIES (CLINICAL) | |
Query: Structural Anomaly in 18 Month Old
 |
|
Structural Anomaly in 18 Month Old |
This 18 month old is tripping and having difficulty walking. My current thought is to get the child a special shoe with proper accommodation, and after skeletal maturity, do the reconstruction. Any other thoughts are welcome.
|
|
| QUERIES (NON-CLINICAL) | |
Query: Video Recording By Patients
I am getting accustomed to having patients use their smart phones in the treatment room to photograph x-rays or their own feet, particularly at the first post-operative visit. However, last week, I had a new experience which I was unprepared for. A 62 year old female was being consented for revisional Achilles surgery after her first surgery failed due to non-compliance in keeping the operated extremity non-weight-bearing during the post-operative period. The patient asked if her 30 year old daughter could be in the room while I explained how the complication occurred, and what surgery would be required to fix the problem. I complied, and as I began my explanations, the daughter took out her phone and began video recording the entire encounter. My gut reaction was to ask her to stop, but better judgment took over, and I allowed her to continue. I am curious what others would do in this situation?
Name Withheld
|
|
| RESPONSES/COMMENTS (CLINICAL) - PART 1A | |
From: David T. Weiss DPM, Elliot Udell, DPM
Interestingly enough, I am seeing a greater number of patients with symptomatic Raynaud’s and pernio. My treatment of choice in addition to the usual warm soaks, avoiding caffeine, and warm socks is Nitro-Paste 0.2% (topical nitroglycerine). I also use a Catapres TTS patch for more localized areas.
We are seeing more cases of pernio (chilblains) in the Northeast this year because of the cold, damp weather which is mimicking cold damp weather in parts of England, where chilblains are more common. I have had success in treating this condition with dihydropyridine calcium channel blockers such as nifedipine XL, combined with recommending 8-hour toe warmers which can be purchased in any sporting goods store. This year, they are selling them in hardware stores and even 7-Elevens. It is important to note, however, that since the dihydropyridines are FDA-approved to lower blood pressure, it is imperative that we monitor a patient's blood pressure before and after taking the medication.
I am treating a patient right now who has a history of Raynaud's and has presented with a painful chilblain on her left hallux which has started to ulcerate. She is very thin and suffers from low blood pressure. Even though nifedipine and its class of drugs are not "big guns" in terms of lowering blood pressure, I felt it risky to lower her pressure even five or ten points. Hence, I am treating her with topical meds and the toe warmers, and she is doing well.
|
|
| RESPONSES/COMMENTS (CLINICAL) - PART 1B | |
From: Paul Clint Jones, DPM
Beyond the standard "keep it warm" approach, I have a simple therapy for Raynaud's, chilblains, pernio, or similar vasospastic phenomena. While using a medication for diabetic neuropathy, I found an interesting side-effect. Surprisingly, these pathologies can respond well to Metanx. I prefer the pure form of L-methyl folate found in Deplin, supplemented with Jarrow brand methylated B12. There are few cross-reactions with the supplement and even fewer side-effects. Anti-seizure meds can be amplified, but otherwise they are a minimal issue. It can be used with children and adults. In my opinion, it beats the recommended calcium channel, or alpha blockers and their side-effects. I found that those who have trouble only in the winter months can get away with just seasonal use.
|
MEETING NOTICES - PART 1
|
|
|
| RESPONSES/COMMENTS (NON-CLINICAL) | |
From: Michael DeVito, DPM
I very much feel similar to Dr. Borreggine, so much so that I went to the e-advocacy on APMA.org and sent letters to my congressman about the legislation requesting hardship exemption from EHR penalties for small practices. Hopefully, others will do the same, everyday until they hear us. I never felt specialists should be reporting the same as PCPs/internists. If the reporting was more tailored to our needs, it would be easier to take all of this.
I may be incorrect, but have been told that stage 2 MU has significant hurdles to overcome, including costs for encryption and additional costs for patient education from a “certified vendor.” It was not enough that...
Editor's note: Dr. DeVito's extended-length letter can be read here.
|
MEETING NOTICES - PART 2
|
|
|
PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME
You can Earn 50 CPME-Approved CME Contact Hours Online
Earn 15 Contact Hours only $179
(Less than $13 per credit) http://www.podiatrym.com/cme.cfm
All required credits can be taken online for AL, AK, AR, CA, CO, CT, DE, HI, IN, KS, KY, LA, MA, ME, MD, MI, MN, MI, NV, NJ, NM, ND, OH, OR, RI, SC, SD, VA, WV, WI, & WY
Partial required credits can be taken online for AZ, FL, GA, ID, IL, IA, MO, MT, NH, NY, NC, OK, PA, PR, TN, TX, UT, VT, WA, and DC
Choose any or ALL (50 CME Contact Hours) from the 30+ CME Category-1 articles posted
|
|
| CLASSIFIED ADS |
ASSOCIATE POSITION - CENTRAL FLORIDA
Associate wanted for well-established practice in central Florida. Multi Physician Practice – Multi Practice Locations Competitive Salary and Benefits. Experienced support staff. Excellent opportunity for a promising future. To apply please go to www.yourcareerinpodiatry.com
ASSOCIATE POSITION – CHICAGO, IL
Podiatrist in Chicago. Independent, energetic Dr. needed to do house calls; schedule will be accommodated due to Dr.'s preferences; both full- and part-time will be considered. Send your inquiries to: dpms2@hotmail.com
ASSOCIATE POSITION - UPSTATE SC
Well-established three doctor practice seeks PSR-24/36 trained associate. New office building with privileges at nearby hospital and surgical center. EMR in place. Located near lake and mountains. Two hours from Charlotte and Atlanta. Please send letter of interest to docrose@bellsouth.net.
ASSOCIATE POSITION – OH
Join our thriving practice of 3 podiatrists in the fastest growing county in Ohio (Delaware located north of Columbus). We are looking for a motivated, personable, caring doctor with solid training who wants to work in a positive environment and enjoys our profession every day! Contact footandanklewellnesscenter@gmail.com
ASSOCIATE POSITION - NORTHERN NEW JERSEY
Position available leading to buy in after 6-12 months for the right person. Well established practice all aspects of care. Modern facility and latest technology. Need a self-starter ambitious person to work and grow the practice. Send Resume and cover letter to DRFOOT44@gmail.com
ASSOCIATE POSITION – SAN FRANCISCO, CA
Immediate associate position available. Applicant should be personal, self-motivated and independent. Will provide diabetic treatments, biomechanical exams, minor office procedures, major surgical corrections, in-home care. Great surgical growth potential. Competitive compensation package. Send letter of intent and CV to: admin@blaskodpm.com.
ASSOCIATE POSITION - UPSTATE SC
Well-established three doctor practice seeks PSR-24/36 trained associate. New office building with privileges at nearby hospital and surgical center. EMR in place. Located near lake and mountains. Two hours from Charlotte and Atlanta. Please send letter of interest to docrose@bellsouth.net.
FULL-TIME ASSOCIATE - BRONX, NY
Associate needed for 30+ year busy private practice. Applicant should be personal, independent and motivated. Bilingual a plus. Practice entails all aspects of podiatry. Surgery, orthopedics, wound care, primary care and sports medicine. Competitive compensation package. Partnership opportunity for the right person. To apply please email letter of intent and CV to Bronxfootspecialist@gmail.com
ASSOCIATE POSITION - CAPITAL DISTRICT (NY)
Associate position with option to purchase practice. Upstate NY, Capital District. Applicants require NYS podiatric license and Medicare # ,Board certified or qualified. Position available immediately. Salary negotiable. Send CV and inquiries to: Gopodiatry@gmail.com
ASSOCIATE POSITION - NY (ROSLYN AND HUNTINGTON)
Join one of the largest podiatry groups on the East Coast. Well established and progressive offices, including EMR, digital x-ray, PVR and NCV studies, PinPointe laser, and Microvas therapy. For more info, www.GreatFootCare.com. Send resume to Dr.Kassaris@yahoo.com.
ASSOCIATE POSITION - CENTRAL PA
Looking for an associate with strong surgical training. Personal and energetic a must. The physician will provide all aspects of podiatric practice, including sports medicine, wound care, and foot and ankle surgery. Competitive compensation package. Partnership opportunity for right person. To apply, please email, letter of intent and CV to premierfootpa@outlook.com
ASSOCIATE POSITIONS – TENNESEE
Immediate full & part-time positions available for fully credentialed. Buy in/Buy out options available for this high volume practice in Knoxville area. Principal, also seeking like-minded to share semi-retirement, e.g., 2 weeks on/ 2 weeks off or 1 month on/ 1 month off, etc. Please email letter of intent and CV to:easttnpodiatry@gmail.com
EQUIPMENT FOR SALE - PINPOINTE FOOT LASER
$16,800.00 OBO, FDA-cleared to treat Onychomycosis. Purchased May 2011, Machine was maintained under warranty and is in working order. Includes; manuals, keys, thermometer, 1 hand piece, new fibers, cleaver, 3 pairs of eye goggles, original packaging. Contact -Darren @ 801-870-4161 or email:dman1hansen@gmail.com
PM News Classified Ads Reach over 15,500 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 15,500 DPMs. for details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at (800) 284-5451
|
| 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.
| | Guidelines |
- 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.
| |
|
Browse PMNews Issues
Previous Issue | Next Issue
|
| |
|
|
|
