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| PM News | |
The Voice of Podiatrists
Serving Over 15,761 Podiatrists Daily
March 08, 2014 #5,007  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 | |
FINAL DAY TO VOTE
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| AT THE COLLEGES | |
OH Podiatrist Lectures to KSUCPM Students at Gund Arena
Cleveland Cavaliers podiatric physician, Dr. Richard Hofacker, recently lectured to Kent State CPM students at Gund Arena. Over 90 Kent State University CPM students were in attendance at Gund Arena prior to the Cleveland Cavaliers – San Antonio Spurs game to learn about the life of a sports medicine podiatric physician from alumnus Hofacker.
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Dr. Richard Hofacker lectures to KSUCPM Students at Gund Arena |
“I am grateful to both Dr. Hofacker for his continued commitment to our students and to 2nd year student Mike Calderone for organizing this very popular event. Dr. Hofacker is a very dynamic speaker and a good role model to all podiatric medical students," said KSUCPM Interim Dean, Bryan Caldwell, DPM, MS.
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| OUTSIDE INTERESTS | |
WY Podiatrist Files to Run for Supreme Court Seat
Dr. W. David Herbert, a Billings attorney who also is a licensed podiatrist in Wyoming, has filed to run for justice of the Montana Supreme Court. Herbert, 70, filed this week for the seat now held by Justice Jim Rice, who is seeking re-election. “I’m very concerned about the future of our constitutional republic,” Herbert said. He is a believer in jury nullification, or as he calls it, jury independence. Under that theory, a jury can acquit a criminal defendant if the jurors disagree with the law or believe it shouldn’t be applied in that particular case.
Herbert was commissioned in the U.S. Air Force but retired as a lieutenant colonel from the U.S. Army medical department, putting in 28 years in active duty and reserves. He flew F-4 Phantom jets for the U.S. Air Force in Vietnam. He received a juris doctor degree from the University of Pacific, McGeorge School of Law, and a doctor of podiatric medicine from Kent State University.
Source: Charles S Johnson, Montana Standard [3/6/14]
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| QUERIES (CLINICAL) | |
Query: Hallux Tumor
A 37 year old male with a history of testicular cancer in 2006 presented to my office with a chief complaint of a dermatological issue. As an aside, he also mentioned that he had recurrent hallux ingrown nail. He said that when he was in the service about 20 years ago, he was told that he needed a biopsy of the hallux after he was treated for an ingrown nail. Clinically, the hallux nail has a "humped” shape and the lateral border of the nail was slightly ingrown.
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Hallux Tumor |
The hallux is about one third larger in size than the contralateral hallux. Radiographs were taken which showed an expansile type lesion at the distal phalanx of the hallux. My plan is to take a bone punch biopsy of the lesion. Is there any need to do a more aggressive resection of the growth at this time if the toe is relatively asymptomatic?
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| QUERIES (NON-CLINICAL) | |
Query: Neurogenx
I would appreciate any information/feedback from fellow providers who have purchased the Neurogenx system and are using the integrated block treatment protocol in association with this unit. I am specifically interested in the success rate of treatment, likelihood of insurance reimbursement, and the quality of equipment.
Bruce Fisher, DPM, Great Falls, MT
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| CODINGLINE CORNER | |
Query: Performing Dressing Changes in the Office
How often can you have a patient come to the office for treatment of foot ulcers and dressing changes if the patient can't change the dressing himself at home? What would be the correct billing codes (can you bill an E/M service code for each visit?) for the visits if you are having the patient come to the office two times per week?
Naftoli Weingarten, DPM, Long Beach CA
Response: A patient who is unable to perform dressing changes (or doesn't have any family members or friends to help) needs to consider whether the home is the appropriate place to recover. If the patient is scheduled multiple times per week to come to your office for dressing changes, it is doubtful he would meeting the criteria for billing an E/M service. It is not the standard of care for the doctor's office to perform this service. And if it were, the supplies used in the office to clean and dress the would not be.
I recommend contacting a home health agency which in turn can contact the patient regarding providing the service and its costs (and whether it is reimbursable by the patient's insurance plan). Most insurances have home health care benefits. Lastly, a local wound care center may have more options available to help you and the patient.
Tony Poggio, DPM, Alameda, CA
Codingline subscription information can be found here
APMA Members: Click here for your free Codingline Silver subscription
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| RESPONSES/COMMENTS (CLINICAL) - PART 1A | |
From: Bryan C. Markinson, DPM
The photo shown shows two lesions that appear "sporotrichoid," meaning that they line up along the lymphatic drainage. Nevertheless, sporotrichosis, caused by a soil fungus, should be considered, especially with bilateral edema in a 14 year old. Tissue cultures (fungal) are also essential, as well as sampling for histology with special stains for fungus. Infection from scratches from vegetation, thorns, as well as transmission from infected cats, or dogs (case mentions patient has outdoor dog and cat) is possible. I would also get a TB screen and an ID consult.
The biopsies will also help rule out atypical mycobacterial infection, as well as non-infectious causes. Since in immunosupression, both atypical mycobacterial infection and sporotrichosis can progress to pulmonary infections, the patient should also have an immune screen. Both ID consult and immune screen should coincide with the biopsy results. Palpation for lymph nodes and a general full physical would also be prudent. I would not fly solo on this case.
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| RESPONSES/COMMENTS (CLINICAL) - PART 1B | |
RE: Skin Manifestation
From: Andy Bhatia, DPM, Bret Ribotsky, DPM
I think a punch biopsy would be a good starting point. My initial thoughts are leaning toward vasculitis. I also recommend bloodwork and running a series of auto-immune tests like ANCA, ELISA, etc. plus CBC, ESR, CRP, and so on, and go from there with possible need for viral serology workup and imaging. Please update us.
Here are my suggestions:
1) Take a tissue culture and special stains for mycobacterium (M. Avium), as this has been found in nail salons, and for deep fungal infections such as cryptococcus neoformans (found in immunosupresion).
2) Biopsy to R/O necrobiosis lipoidica diabeticorum and Sweet's syndrome (neutrophilic dermatosis).
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| RESPONSES/COMMENTS (CLINICAL) - PART 2 | |
From: Simon Young, DPM
Do not treat the pocketbook! If it is needed, recommend it, and let the patient refuse a biospy on a signed note. Indigent or not, if you miss the diagnosis, you are liable, and she will be the first in line to take your assets.
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MEETING NOTICES - PART 1
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| RESPONSES/COMMENTS (CLINICAL) - PART 3 | |
From: Robert Bijak, DPM
In my opinion, this result is not satisfactory and will lead to difficulties later on. I believe a simple amputation would have provided a better cosmetic and functional result.
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MEETING NOTICES - PART 2
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PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME
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Choose any or ALL (50 CME Contact Hours) from the 30+ CME Category-1 articles posted
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| CLASSIFIED ADS |
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.
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 - 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@extremityhealthcare.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@extremityhealthcare.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 - 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 – MANHATTAN
High End Lucrative Practice for Sale on Fifth Ave. in Manhattan. Ground Floor. Street entrance.1,000Sq. Ft. Doctor owned Co-Op, lease secured for 10 years. Priced to sell. Will be available through transition. Contact Email pied106@aol.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
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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- Subscribers are reminded that they have an ethical obligation to disclose any potential conflicts of interest when commenting on any product, procedure, or service.
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