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PMNews
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| PM News | |
The Voice of Podiatrists
Serving Over 20,000 Subscribers Daily
March 05, 2021 #6,900  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 | |
Last Chance to Vote
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What type of flooring is in your treatment rooms?
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| PODIATRISTS IN THE NEWS - PART 1 | |
Genetics a Good Predictor of Whether You're Bunion Prone: AZ Podiatrist
Genetics play a big role in whether or not you'll get a bunion, says Zachary Flynn, DPM, a podiatrist and fellowship-trained foot and ankle surgeon at Phoenix Spine & Joint in Arizona. You may wear flimsy flip-flops your whole life without getting a bunion, while someone who is naturally prone to the condition may wear extremely supportive shoes but develop a bunion at age 25.
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Dr. Zachary Flynn |
Dr. Flynn says that most of the time, he guides patients toward sneakers meant for long-distance running to help reduce bunion pain. He recommends brands that sell wider versions, like New Balance and Brooks. Other things to look for in a good shoe: a large toe box, mesh or other soft and flexible material on the top of the shoe and around the toes, arch support, ample cushioning to absorb shock from the ground, a supportive heel, and stability features that help prevent your arch from overpronating.
Source: Amy Marturana Winderl, The Healthy [3/2/21]
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| PODIATRISTS IN THE NEWS - PART 2 | |
Too Much Standing is Hazardous to Feet: OH Podiatrist
"Standing requires a significant amount of isometric muscle force (where muscles are under constant stress but there is no motion of that body part), and fatigue may set in over a short period of time," says Mark J. Mendeszoon, DPM, podiatrist at Precision Orthopaedic Specialties in Ohio. "As fatigue ensues, the body will accommodate to compensate to remain standing, and muscle imbalances and pain may develop throughout the body."
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Dr. Mark Mendeszoon |
Besides your core, your feet and ankles especially take the brunt of providing a sound foundation for support. "Having the ability to walk intermittently opposed to standing will distribute the body weight and thus reduce the static pressure on the feet and body and make it more dynamic," says Dr. Mendezoon. "As most people do not have perfect feet, proper footwear and possibly insoles or orthotics may mitigate many standing problems and conditions."
Source: Emily Shiffer, Men's Health [2/25/21]
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| PODIATRISTS IN THE COMMUNITY | |
Sports Led PR Podiatrist to Career in Medicine and Surgery
Passion and taste are key and a rudder of life that allows any human being to reach what makes him happy and better still, to do what he loves. This was the case for Joaquin Balaguer, DPM, doctor and podiatric surgeon. His physical activity and the interest that he always had from an early age in sports have guided him to a specialty that is characterized in the diagnosis and treatment of foot pathologies and deformations.
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Dr. Joaquin Balaguer |
“I was an athlete all my life and I always visualized myself working in some type of sports medicine. By chance, I was an athlete at the University where I studied and approaching my fourth year, I had the opportunity to meet one of the doctors of the institution’s athletic department, who coincidentally was a podiatric surgeon and had a large practice of athletes at the national and collegiate level. I had the opportunity to visit him several times. That is how I became interested in foot and ankle medicine and surgery," said Dr. Balaguer.
Source: Eduardo Najar, Archyworldys [3/2/21]
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| PUBLISHED PODIATRISTS | |
CA Podiatrist’s Article Among 50 Most Cited in Orthopedic Reviews
American Academy of Podiatric Sports Medicine (AAPSM) past president Amol Saxena, DPM’s article “Articular Talar Injuries in Athletes: Results of Microfracture and Autogenous Bone Graft” published in the American Journal of Sports Medicine in 2007 (which has the highest Impact Factor of any orthopedic journal) was recently listed as among the 50 Most Cited articles in ankle surgery in Orthopedic Reviews (Lobo, et al. 2021).
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Dr. Amol Saxena |
Dr. Saxena recently lectured to the German Association for Foot & Ankle Surgery on the Achilles tendon "Conservative Treatments & Limits". He was awarded Honorary Lifetime membership to the group in 2017 and presents his lectures in German.
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| PRACTICE MANAGEMENT TIP OF THE DAY | |
Improve Your Patient Experience With These Steps - Part 3
3. Improve Communication at Every Step of the Patient Visit
This means answering phones promptly with enthusiasm, introducing yourself to patients, and being helpful and willing to answer all of their questions. If you don't have the answer, get it, and never say no to a patient. Make good eye contact and smile. Listen for and look for cues from your patients. If they seem restless be reassuring, if they are worried be comforting and confident.
At the end of the patient's interaction, be sure to ask is there is anything else you can do for her today. Your job and the patient's experience depend on every member of the team putting the patient's needs first.
Source: Angie Villamaria, Physicians Practice [2/26/21]
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| RESPONSES/COMMENTS (OBITUARIES) | |
RE: The Passing of Harry Charles Gross, DPM
It is with tremendous sadness and grief that we announce the passing of Dr. Harry Charles Gross, DPM. Dr. Gross died March 1, 2021 at Brookdale Assisted Living in Alexandria, Louisiana. Dr. Gross graduated from The Pennsylvania College of Podiatric Medicine. He began his career in June of 1985 at The Pinecrest Development Center in Pineville, Louisiana.
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Dr. Harry Gross |
He also was able to maintain a private practice, in which he loved what he did for a career. Later, he became a podiatric consultant for Central State Hospital in Pineville, LA. In 2006, he created the Hilda and K. Kennard Gross Endowed Special Needs Scholarship Fund at Jewish Children's Regional Services (JCRS), in honor of his parents, and to enhance the ability of JCRS to assist Jewish children and youth with special needs.
Source: The Town Talk [3/3/21]
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| QUERIES (CLINICAL) | |
Query: Turf Toe
I am trying to help a patient with turf toe. He injured his foot while playing rugby. He described being tackled and having the 1st MPJ severely extended. He was in a good amount of pain and self-treated his condition with the R.I.C.E. protocol. There was moderate pain when palpating the 1st MPJ, mostly around the plantar and lateral aspect of the joint. Mild to moderate edema was noted. Increased pain was elicited with dorsiflexion of the joint. Palpation of the sesamoid bones did not elicit pain.
He does not want to have x-rays. His ability to ambulate seems to rule out severe ligament injury. Clinically, I would diagnose this as a stage one to stage two turf toe injury. I recommended rest and anti-inflammatories. I cast him for orthotics and will incorporate a Morton's extension to limit dorsiflexion of the 1st MPJ. I assume he can continue to wear this device even when he begins playing rugby again. Is there any other accommodation I should be incorporating into his orthotic? I educated him on the need to wear a rigid sole athletic shoe such as the Brooks Beast or New Balance 1540 when he is not wearing his work boots.
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1 | |
RE: Different Diabetes Devices
From: Jean T Chen-Vitulli, DPM, MS and Anastasios Manessis, MD
The management of diabetes today has many options. There are now insulin pens, continuous glucose monitors, insulin pumps, and closed loop systems that act similar to an artificial pancreas. Not everyone is familiar with all these options a person living with diabetes may have in improving glycemic control. To learn more and familiarize yourself with the various options that your patient may utilize, click here.
This website is also excellent to refer patients to when they ask for your opinion on different devices to help with diabetes control.
Jean T Chen-Vitulli, DPM, MS, Fishkill, NY and Anastasios Manessis, MD, Endocrinologist, West Village, NY
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 2 | |
From: Arnold Signer, DPM
Dr. Rubin questions why our state associations charge a fee to obtain CMEs for their webinars. Granted, we are experiencing unusual circumstances that we have never before encountered, due to the pandemic. However, there is a solution; particularly for the larger states. Only a portion of the income required to operate a state association and the attendant costs of representing its members and protecting their ability to practice comes from dues income.
A large part of the remaining income is derived from educational seminars and, yes, webinars. Having been involved in running educational meetings, I know that there is no guarantee as to projected registration for a seminar. However, what if every member of an association shared in the cost of staging a meeting? In the late 1980s, the Florida...
Editor's note: Dr. Signer's extended-length letter can be read here.
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 3 | |
From: James DiResta, DPM, MPH
I think we need to be careful on belittling colleagues who are skeptics and continuing this narrative of "show me the science" when it comes to the benefits of mask wearing and then point to the CDC on this matter for "expert" opinions and the 2 "case studies" mentioned as strong evidence for wearing face masks. Just look at our own scientific journals for levels of evidence and see where this type of research mentioned brings you. I've been a strong advocate for wearing masks especially during the height of this pandemic but this evidence you point to is just not hard science. There just isn't any (evidence); and please that study with a spitting mannequin just doesn't do it either.
My advice is to continue with a healthy level of skepticism, especially when it comes to this type of evidence in population health but continue to err on safety and wear a mask for a little bit longer. We're nearing the end.
James DiResta, DPM, MPH, Newburyport, MA
Editor's note: Additional letters on this topic by Gary S Smith, DPM, Mark Spier, DPM, and Robert Kornfeld, DPM can be read here.
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| RESPONSES/COMMENTS (NEWS STORIES) | |
From: Ben Pearl, DPM
Dr. Weiss gives a nice summary of the ideology of turf toe. I recently developed a turf toe/hallux limitus splint (TT3) that combines a semi-rigid Morton’s extension in a compressive sleeve. It was reviewed at a lab with a patient with mild hallux limitus and measured decreased forces through the first metatarsal phalangeal joint. I hope to have a limited study to expand this initial observation. Anecdotally I have had many positive experiences for turf toe and the much more common hallux limitus as well as some that did not like the feel of the splint.
I am starting a more exhaustive review of the literature for studies on both and would love to see if anyone is aware of any measured data with carbon plates. This will vary obviously, depending on the thickness of the plate. My AAPSM colleague Paul Taylor told me he used to cut plates from carbon sheets. This is one of those lost art and science of podiatry things that new practitioners can keep in mind. The ultimate solution can be situational based on turf, grass, or dry clay surface of the playing field. The other variables include cleat selection, foot shape, and other over-arching imbalances.
Ben Pearl, DPM, Arlington, VA
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| RESPONSES/COMMENTS (PODIATRIC PRODUCTS AND SERVICES) | |
From: Dieter J Fellner, DPM
Congratulations, Dr. Vitale, for adding another implant option to the surgeon's tool box. I am always excited when a new product enters the market, and I have to ask Dr. Vitale: in what way does the Accu-hemi joint provide for 'full joint preservation'? The joint, already damaged from the pathological process of degenerative joint disease, is no longer preserved. Less so, when a set of two reamers are used to prepare the surface for the metal cap (I assume it is metal) that will be placed upon it. Second, I want to ask for the citation of studies that can prove this option is a superior option to existing technology.
Third, I want to ask why the preservation of subchondral bone is such an advance in implant placement. Fourth, in what way does this implant provide for corrected biomechanical function that caused the arthritic damage to the joint? Lastly, we have on the market the Cartiva 'contact lens' implant. This also burns no bridges and, as a patient, I would likely choose that over metal-based alternatives; but that is just my own perspective.
Dieter J Fellner, DPM, NY, NY
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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Isn't this shoe just "de vine"? |
Source: Huffington Post
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MEETING NOTICES AND SEMINARS
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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 |
SUPERVISOR POSITION – NEW YORK
Highly qualified medical supervisor, currently administering large multidisciplinary Northwell Hospital practice with over 100 + staff members and doctors. Seeking full-time position with a large podiatry, medical, surgical practice in the Queens, Long Island area. Full benefits and compensation commensurate with qualifications. Respond to email address. berleys@gmail.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
OFFICE COVERAGE NEEDED – MANHATTAN
Well established Park Avenue female practice seeking experienced, affable podiatrist for part time office coverage. Email healthyfeetny@gmail.com with short intro and CV with references. Full scope of podiatric medicine and surgery with in-office fluoroscopy, digital x-ray and nail laser.
ASSOCIATE POSITION – ORANGE COUNTY, CA
Our podiatry group is a well-established, busy practice in Orange County, CA. Part-time or full-time associate positions available for immediate consideration. Offering competitive compensation. Must have completed 3-year surgical residency and board qualification or certification. Email CV and bio to asbpodiatry@gmail.com.
ASSOCIATE POSITION - WESTERN COLORADO
Looking for an associate/partner for a small practice in a small town. Must have ABPS board qualification/certification and must be able thrive in a rural setting lacking the conveniences of a metropolitan area. For more detailed information text 970 209-3776.
ASSOCIATE POSITION - NORTH FLORIDA
Energetic, compassionate, and capable individual. All aspects of podiatry with focus on sports medicine and surgery. New state-of-the-art second office. Near the coast. Full or part-time position. Competitive salary and benefits package. Must be BQ/BC. Please email CV, Reference letters, and a brief paragraph about yourself. nffhumanresourcesac@gmail.com
ASSOCIATE POSITION - CHICAGO
Available immediately. Home visits/ some facilities/ some office hours . Illinois license is required. Existing patients’ base. Net $250-325K. logistics are provided. Full- and part-time are available. Contact vadim.goshko@gmail.com or 312-375-6430.
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
PODIATRIC SURGEON – SOUTH CAROLINA
Physicians Footcare, SC largest provider of podiatric services, is seeking a highly skilled and personable physician to join our TEAM. If you are ready to live, work, and play comfortably; send letter of interest and CV to: scdpmjobs@gmail.com
ASSOCIATE POSITION - BILLINGS, MONTANA
Tired of COVID and the city? This is your chance to have the position you've been dreaming about. Need board qualified associate wanting to work hard & enjoy the rural life of Montana. Work ethic and personality will deliver you an above average income. Join the largest group in the region. Base salary plus bonus, malpractice and other benefits. Email for details and to set up interviews. craig.mclaws@mt-podiatry.com
ASSOCIATE POSITION – SOUTH CENTRAL, PA
www.martinfootandankle.com is looking for a professional and energetic associate. Practice is high volume and full scope. Practice includes: 5 offices, 4 PT gyms & 2 shoe stores. Competitive compensation & benefits. Send letter of interest and CV to jbowen@martinfootandankle.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
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 - 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 foot-care. We have a large referral base and new office, digital x-ray, lasers, EMR, etc. Please send CV to scfootdoc@gmail.com
ASSOCIATE POSITION - NORTHERN, NJ
Associate position available for busy Northern New Jersey practice seeing all aspects of podiatric care. Seeking part or full-time associate who is highly motivated and well trained to start in July. Offering base salary plus incentives. Email CV to mhdpm1@gmail.com
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.
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 – SUFFOLK COUNTY, NY
Podiatry practice and/ or professional condo for sale in Western Suffolk County, Long Island,. NY. Long standing full time practice, presently part time, with potential to full time. Call/text 516 398 6168 or email mamcdpm@aol.com.
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.
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
ACTIVELY SEEKING TO ACQUIRE A FOOT ORTHOTIC COMPANY
Well-funded group looking for both solvent and insolvent Orthotic companies. Join an established industry partner who has successfully integrated numerous acquisitions over many years. In strictest confidence, Please contact enquires@Brandcontrol-holdings.com to explore further.
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.
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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
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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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