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PMNews
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| PM News | |
The Voice of Podiatrists
Serving Over 15,761 Podiatrists Daily
March 07, 2014 #5,006  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
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| PM NEWS QUICK POLL |
Quick Poll
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Which of the following most closely reflects the malpractice insurance you carry? |
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| ACFAS NEWS | |
SC Podiatrist Honored with the ACFAS Distinguished Service Award
Edwin Blitch, DPM, FACFAS received the 2014 ACFAS Distinguished Service Award at the Annual Scientific Conference in Orlando. This prestigious award—one of the College’s highest honors—is presented annually by the ACFAS Board of Directors to recognize long-term, behind-the-scenes volunteerism to the profession and the College. Blitch becomes the eleventh “unsung hero” to receive this award.
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(L-R) Dr. Edwin Blitch receives the Distinguised Service Award from outgoing ACFAS president Dr. Jordan Grossman |
Blitch’s volunteer efforts with the College span nearly two decades, beginning right after he completed his residency. Blitch has served in many important ACFAS capacities, including chair of the Education and Scientific Affairs Committee and as a member of the Annual Scientific Conference Committee, the Professional Relations Committee, the Strategic Planning Committee, and the Nominations Committee.
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| PODIATRISTS AND DIABETES | |
CA Podiatrist Comments on New Possible Breakthrough for DFUs
Treatment with polydeoxyribonucleotide (PDRN), an adenosine A2A-receptor agonist, nearly doubled the rate of complete healing of difficult-to-treat Wagner 1 or 2 diabetic foot ulcers compared with placebo, achieved earlier ulcer closure, and resulted in an "impressive" reduction in ulcer area as early as 8 weeks after the start of therapy, a new study indicates. The results are published online ahead of print in the Journal of Clinical Endocrinology & Metabolism .
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Dr. Lee Rogers |
Lee C. Rogers, DPM, medical director of the Amputation Prevention Center at Sherman Oaks Hospital, Los Angeles, California, noted that the study failed to provide adequate off-loading, the standard of care in such cases. "In a clinical trial, these [offloading] devices are typically provided to patients without charge," he observed. But this critique does not mean PDRN has no potential, he added, rather that future studies would require better adherence to standard of care and adequate off-loading. PDRN "has a unique mechanism of action, and the delivery of the drug avoids some of the pitfalls in other diabetic foot ulcer treatments," he pointed out.
Source: Beck McCall, Medscape Medical News [3/5/14]
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ACE USA and RPS Healthcare Expand Podiatrist Professional Liability Coverage
The Patient Protection and Affordable Care Act and Centers for Medicare & Medicaid guidelines and rules resulted in a record number of investigations and enforcement actions in 2011. ACE Medical Risk, a division of ACE USA, has responded through an endorsement that increases limits on Medicare/Medicaid legal expense reimbursements, raising coverage limits from $30,000 to $50,000 per action, with an annual aggregate of $50,000. This product is underwritten by companies within the ACE Group, an A.M. Best “A+” rated carrier, and is offered to podiatrists exclusively by RPS Healthcare, National Program Administrator of the Podiatry PLUS programs and one of the largest wholesalers and the largest Managing General Agent in the country. For more information Call 800-397-9697 ext 2646.
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| ON THE INTERNATIONAL LECTURE CIRCIT | |
AZ Podiatrist Lectures at Mexico NIH-AAAS Meeting
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Dr. David Armstrong lecturing on next-generation diabetes technology at Mexico's National Institute of Medical Science |
The University of Arizona's Dr. David G. Armstrong, Professor of Surgery and co-Director of the Southern Arizona Limb Salvage Alliance (SALSA) became the first podiatric surgeon to lecture at Mexico's National Institute of Medical Science. The lecture was part of a historic Mexico-NIH-AAAS symposium on next-generation technology-based strategies in the management of diabetes. Armstrong spoke on "Healing and Preventing The Diabetic Wound."
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| QUERIES (CLINICAL) | |
Query: Skin Manifestation
A 14 year old female presented to our office last week with multiple painful non-pruritic SubQ nodules on both feet that have been bothering her for nearly two months. New ones are popping up every few days. We I&D'd (1cc of purulence) and cultured the one on the right forefoot, but the culture came back negative (no growth). A week of Augmentin has not helped.
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Skin Manifestation |
She is a thin, very light skinned girl with no systemic complaints and with normal vitals. She has moderate edema in both feet, which are very cool with mottled skin. She takes no medications and there have been no changes in diet, activity, or footwear. She does have a dog and a cat, but they are outdoor animals only. Any suggestions?
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Codes for Podiatric Medicine and More! 2013/2014 (26th Edition)
Make the transition this year with minimal stress and ultimate convenience.
This two-volume set contains podiatric medicine specific ICD-9-CM, ICD-10-CM (cross-referenced), E/M, HCPCS, CPT, E/M, E, and V codes, modifiers, guidelines for wound care, diabetic foot care, the Medicare Diabetes Shoe Program, and more.
Telephone and email support is provided at no additional cost for help with your tough coding questions.
Accept no substitutes. My publication is the one that you hear about. Join the thousands of satisfied podiatrists using my coding manuals for over 25 years. Available for immediate shipping!
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| RESPONSES/COMMENTS (CLINICAL) - PART 1 | |
From: Randall Brower, DPM
I had an exact same type of patient presentation with the exact same MRI two years ago. You'll never forget it when you see it. It was an aggressive Ewing's sarcoma in an otherwise healthy 21 year old female. Do not bother with bone biopsies. Get this patient to an orthopedic oncologist ASAP. You may save a leg, if not a life. Update us on what you find.
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| RESPONSES/COMMENTS (CLINICAL) - PART 2 | |
This appears to be a case of macrodactyly. Several years ago, I had the opportunity to perform reconstructive surgery for this deformity in a teenager. It was done in stages and was very successful, making a huge difference in the patient's self-image and social interactions—not to mention his footgear.
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(L-R) Pre- and post-op photos of macrodactyly |
This was not repaired at an earlier age, not because of a medical reason but due to family financial issues.The most amazing aspect of this case was not the surgery itself, but the effect that having a relatively normal toe had on this young man’s personality. I was fortunate enough to have some training in this technique thanks to Larry Oloff, DPM. Otherwise, I would have referred this to a surgeon with experience in this type of delicate reconstructive technique.
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| RESPONSES/COMMENTS (NON-CLINICAL) | |
From: Al Musella, DPM
I think that Dr. Grapel overreacted. I think the patient should have asked if it is okay first, but I can see a patient being afraid that they will be too nervous in a pre-op consult to remember everything. I wouldn't take it as an attempt to trap you. I would welcome it and maybe ask for a copy, as it proves that you did the informed consent correctly. It might not be a bad idea for you to record informed consents.
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous (Edible) Shoe of the Day
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This shoe takes the cake. |
Source: Submitted by Dr. Archibald Loch
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MEETING NOTICES - PART 1
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| CLASSIFIED ADS |
ASSOCIATE POSITION - GEORGIA (ATLANTA, NORTHERN SUBURBS)
Largest physician-owned equity based super group model (EHI, Inc.)- seeking multiple practitioners to work in highly successful clinical environments. Physicians must have minimum of 5 years practice experience in high volume clinical setting (s), ABPS board eligible/certified, highly motivated, hardworking, and extremely ethical. Unique setting encompassing practice owned surgery centers, pathology lab (s), imaging service(s), vascular access center (s), hyperbaric center(s), compounding pharmacy, anesthesia service(s), & more in development. Practice mergers considered for the right cultural fit. Competitive initial salary plus ancillary bonuses with full benefit package and ownership opportunities. Please send all inquiries via e-mail to dhelfman@extremityhealthcare.com and mhilsen@extremtyhealthcare.com include cover letter and CV.
ASSOCIATE POSITION – VICTORIA, BC
Beautiful Victoria, British Columbia. Needing experienced associate for 3-office practice
Reply to dr.cole@shaw.ca
ASSOCIATE POSITION - GEORGIA (ATLANTA)/TEXAS (AUSTIN, DALLAS, HOUSTON)
Largest Physician Owned Equity Based Super Group Model (EHI, Inc.)- seeking ethical hard working practitioners interested in joining EHI’s Southwest expansion. Our model is proven to produce successful practice groups and ancillary services, some of which include physician owned surgery centers, pathology lab (s), imaging service(s), vascular access center (s), hyperbaric center(s), compounding pharmacies, anesthesia service(s), & more in development. This is your opportunity to join EHI’s strategic national expansion focusing on secure wealth creation in an uncertain regulatory healthcare market. Only successful group (s) and/or solo practitioners will be considered. Send inquiries via e-mail to dhelfman@extremityhealthcare.com and mhilsen@extremtyhealthcare.com
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 - NORTH CAROLINA - GREENSBORO/TRIAD AREA
Busy, state-of-the-art group practice seeking full time associate. PSR 24 or above training preferred. Excellent opportunity for a highly motivated and ethical applicant. Competitive income and benefit package. Hospital privileges available. Board certified/qualified applicant, send CV and letter of interest totriad.podiatrist@yahoo.com
ASSOCIATE POSITION - CENTRAL FLORIDA
Non-surgical associate wanted for busy Central Florida practice. Duties to include palliative care, diabetic foot care, wound care and minor office procedures. Competitive salary plus incentives, malpractice insurance, health insurance, fees and dues, are covered. Please reply to: footcareforyou@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
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.
SPACE TO SHARE - EAST SIDE MANHATTAN
East Side Manhattan - reception, waiting area, lab - 3 furnished treatment rooms - Staff available - Immediate availability. email off61dpm@gmail.com
PRACTICE FOR SALE – NEW MEXICO
Older podiatrist in Albuquerque wants to let a younger doctor take over. Currently working half-time and grossing $300 K. Tired of the cold winters up north? Come down to take over and build the practice. Purchase price negotiable. Would like a small amount of draw and place to work about 10 hours a week. Goal is to phase out in a couple of years. If interested, send resume and letter of interest toabqpod1@hotmail.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
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
INTERN POSITION - ILLINOIS
Part-time paid intern position for current podiatry resident to assist with various projects in a new podiatry practice in the Midwest. Most, if not all of the requirements of the position can be completed via phone and Internet. Please respond with CV, contact information and any questions to podiatryintern@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
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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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