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PMNews
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| PM News | |
The Voice of Podiatrists
Serving Over 15,773 Podiatrists Daily
March 10, 2014 #5,008  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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| NEW CME ARTICLE POSTED ON OUR WEBSITE | |
We’ve just posted the March 2014 CME titled:
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March 2014 CME |
You can Earn 50 CPME-Approved CME Contact Hours Online
Earn 15 Contact Hours for only $179 (Less than $13 per credit)
http://www.podiatrym.com/cme.cfm
Choose any or ALL (50 CME Contact Hours) from the 20 CME articles posted
You Can Now Take Tests and Print Your CME Certificates Online
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| PM NEWS QUICK POLL | |
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Results of Last Week's Poll |
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| PODIATRISTS IN THE NEWS | |
PA Podiatrist Discusses Natural Remedies for Common Foot Problems
If your feet have been in hibernation thanks to all your boots and closed toe shoes, foot surgeon and author of Feet Naturally, Dr. Maasi J. Smith, has some tips to get them in sandal shape STAT!
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Dr. Maasi J. Smith |
1. If your feet or ankles tend to swell, eat watermelon. This fruit serves as a natural diuretic, helping to rid the body of fluid.
2. If foot odor is a problem for you, consider soaking your feet several times a week in a vinegar bath. Apple cider or white vinegar will do. Mix about a 1/2 cup per 1/2 gallon of water. Soak for about 10 minutes.
Source: Ryan Patterson, Access Hollywood [3/7/14]
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| HOSPITAL PODIATRISTS IN THE NEWS | |
TX Podiatrist to Help Develop New Hospital-Based Wound Care Center
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Dr. Richard Galperin |
Dr. Richard C. Galperin will be part of a newly developed multi-specialty wound care center at the University General Hospital in Dallas, Texas. He will be part of a three-physician team specializing in the medical and surgical treatment of ulcers and wounds, including hyperbaric medicine. The center is set up to treat hospital-based patients, as well as to be utilized as an outpatient clinic. Wound care has been an important part of Dr. Galperin’s practice over the past 20 years. He currently serves as principal investigator for several diabetic ulcer studies in his private practice.
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| PODIATRISTS AND THE LAW | |
FL Podiatrist Indicted on Healthcare Fraud Charges
A federal grand jury has indicted a Lakeland podiatrist on charges of healthcare fraud. Dr. James F. Pruchniewski was arrested Friday, according to William Daniels, a spokesman for the U.S. Attorney's Office in Tampa. The grand jury's indictment alleges that Pruchniewski, as the owner and operator of the North Lakeland Foot Clinic, submitted false claims to Medicare. Pruchniewski pleaded not guilty to the charges, records show.
Source: Jason Geary, The Ledger [3/8/14]
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| QUERIES (CLINICAL) | |
Query: Post-Injection Heel Complications
My patient is a 53 year old woman with a medical history significant for brain trauma and right-sided hemiparesis. She presented initially for heel pain on the left heel which was treated in December 2013 with stretching, taping, injections containing 1.5 cc 2% lidocaine mixed with 0.5 cc Kenalog-40, and 0.5 cc dexamethasone. She has adequate dorsiflexion in the ankle, so equinus is not an issue.
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Post-Injection Heel Complications |
Following her injections, her pain resolved, but she then developed varicosities in the medial arch and blanching in the area plantar medial arch at the site of the injection. The varicosities were painful and treated with a mix of mometasone and lidocaine jelly. The blanching noted in January and February has now become erythematous but is without pain, heat, or fluctuance in the plantar medial arch. It blanches easily. Her medial calcaneal tubercle is also becoming symptomatic again. Suggestions?
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| QUERIES (MEDICAL-LEGAL) | |
Query: Are we legally allowed to ask a potential employee if he or she smokes?
From: Elliot Udell, DPM
Are we allowed to ask a person whom we are considering for the job if he or she smokes, and can that person be excluded from employment if the answer is yes? Would that be considered discrimination? We do not allow smoking in our office, but it would seem hypocritical if I lectured a patient on the importance of not smoking and they saw one our employees standing outside the building with a cigarette in her mouth.
Elliot Udell, DPM, Hicksville, NY
Editor's comment: PM News does not provide legal advice. No. This is considered a private health issue. Whether one smokes or not is irrelevant to job performance. You can, however, enforce a no-smoking policy in or in front of your office.
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| RESPONSES/COMMENTS (CLINICAL) - PART 1A | |
From: Bryan C. Markinson, DPM
This lesion looks very much like an enchondroma, and the history fits - it has been asymptomatic, discovered coincidentally to a different problem, as well as the radiologic findings. I would NOT do a biopsy at this point for several reasons. First, it is asymptomatic. Second, if indeed it is an enchondroma, it may be part of a larger condition where patients have multiple lesions elsewhere. Sometimes, enchondromatosis is associated with hemangiomas of the soft tissues. An orthopedic oncology consult should be done first. Those experienced in dealing with these lesions can make the diagnosis by radiology alone, and any extended imaging work-up would be more prudent than a biopsy at this time. The 20-year history is also highly tending towards it being benign, although the lesion is expansile, as some enchondromas can be. An orthopedic oncology consult is the BEST thing you can do for this patient.
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| RESPONSES/COMMENTS (CLINICAL) - PART 1B | |
From: Dennis Shavelson, DPM
Assuming you have some experience with bone tumors, I think your plan is appropriate. This looks like an enchondromatous lesion (look for Ollier’s disease) but it may be a chondrosarcoma or other ominous mass. If you are not used to packing bone or dealing with an osseous malignancy, refer this case to an appropriate colleague now instead of when and if you hit a wall.
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| RESPONSES/COMMENTS (CLINICAL) - PART 2 | |
From: Christopher Formanek, DPM
These 'punched out' type lesions could be associated with Behcet's syndrome or a collagen vascular disease. I recommend a punch biopsy of a lesion and an arthritis panel, in particular, to rule out collagen vascular diseases with secondary Raynaud's phenomena.
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| RESPONSES/COMMENTS (CLINICAL) - PART 3 | |
RE: Using Nitropaste to Increase Blood Flow
From: Wm. Barry Turner, BSN, DPM
In this time of studies and verifiable proof of effectiveness, I can only offer what I have seen.
I once used nitropaste on a patient, and tested perfusion with a laser Doppler. The digital perfusion increased 300% in five minutes. When I applied nitroglycerin paste as an RN (treating acute MI), I would apply the paste to a piece of paper and tape the paper to the person's chest. The PDR distinctly states...
Editor's note: Dr. Turner's extended-length letter can be read here,
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MEETING NOTICES - PART 1
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| RESPONSES/COMMENTS (NON-CLINICAL) | |
RE: Letter to Patients About Obamacare and Podiatry
From: Michael Rosenblatt, DPM
Recently a number of people have been writing me to ask about the format of a letter they can use for their patients to inform them about the changes in Obamacare. So, rather than individually answer them, I thought I would publish it in PM News. I also included it in Español.
Challenges You Will Face with the New Affordable Care Act
You have no doubt read about some of the new issues that will be raised with Obamacare. Some of our patients have already started to see...
Editor's note: Dr. Rosenblatt's extended-length letter appears here.
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MEETING NOTICES - PART 2
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| CLASSIFIED ADS |
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
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 - 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 - KENTUCKY
Immediate opening for palliative/general podiatric care provider in established clinics, nursing home and assistive living settings in beautiful Southern Kentucky. Travel involved, but transportation provided along with ability to provide a wide range of clinical care including DME. Board certification not mandatory, but must be eligible for KY state license. Base salary with incredible bonus opportunity/full benefits. Join Kentucky’s largest and most respected podiatric group. Email CV and letter of interest to: jonkim12000@yahoo.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 – 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 - 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 - 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
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
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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