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| PM News | |
The Voice of Podiatrists
Serving Over 15,772 Podiatrists Daily
March 11, 2014 #5,009  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 | |
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| AT THE COLLEGES | |
Over 400 Attend NYCPM's "FootBall" Gala
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(L-R) Drs. Arthur Gudeon and Andrew Shapiro with wife Marsha. |
The NYCPM 2014 FootBall was held Saturday night, March 8 at Guastavino's in NYC,and was attended by over 400 faculty, students, spouses, and guests, including NYSPMA Vice President Andrew Shapiro, DPM with his wife, Marsha, and Arthur Gudeon, DPM, NYCPM Alumni Association President. A good time was had by all, Kudos to NYCPM ‘15 student Ashley Varner, who arranged and put together a "toe-tally" awesome event.
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| APMA COMPONENT NEWS | |
APMWA Announces 28th Annual Student Writing Competition
The American Podiatric Medical Writers Association has announced its 28th Annual Student Writing Competition.
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All papers MUST be non-technical in nature. Appropriate subjects include practice management, ethics, law, education, or any topic that would be suitable for a lay publication.
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There is no word limitation. Papers will be graded for content, style, grammar, neatness, and overall impact.
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First prize will be one thousand dollars ($1,000), sponsored by an APMA Educational Foundation endowment from Dr. and Mrs. Steven Berlin, and recognition in the APMA NEWS and the APMWA Newsletter. Honorable Mention Certificates may also be awarded.
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This competition is open to ANY enrolled podiatric student.
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Entries must be received by 4/15/14 via e-mail at bblock@podiatrym.com
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Entries become the property of APMWA, which may arrange publication of the entry.
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| PODIATRISTS IN THE NEWS | |
NE Podiatrist Discusses Diabetic Neuropathy
Common foot problems happen to everyone. Diabetics are particularly susceptible because, in diabetic neuropathy, there is little to no feeling in the foot. Without checking the feet, a common, curable foot problem leads to a more serious infection. “Pay attention to pain. Pain is a sensation that we really need,” said Dr. Tiffani Anderson, podiatrist.
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Dr. Tiffani Anderson (photo: Irene North) |
“Don’t use tools like a ped-egg to remove calluses if you have neuropathy because you can’t feel when you’ve removed it and are taking away good skin,” Anderson said. Over-the-counter remedies should not be used in corn removal. “They have salicylic acid in them. If you don’t have any feeling, you don’t know how far it has gone down,” Anderson said.
Source: Irene North, Scottsbluff Star Herald [3/9/14]
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| SUCCESS TIPS FROM THE MASTERS | |
Bret Ribotsky: With ICD-10, there are diagnoses when you need to distinguish whether the condition is an initial presentation or subsequent presentation, and there are other diagnoses when you don’t. Is there a guide to knowing which to use?
David Freedman: This happens more with trauma conditions (fracture, laceration, etc.). There is an initial presentation of the event and a subsequent care of the same condition. (A= Initial, D= subsequent, S= sequel).
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Dr. David Freedman |
Bret Ribotsky: So when you see a bunion or plantar fasciitis, is there a need to distinguish whether the condition is initial or subsequent?
David Freedman: There is no requirement to add the letters A, D or S, which is required with the trauma codes.
Meet the Masters airs live every Tuesday night. This week's guest is to be announced. You can register for this and future events by clicking here
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| QUERIES (CLINICAL) | |
Query: Autoimmune Hepatitis S/P Terbinafine
Has anyone had a patient develop autoimmune hepatitis after using oral terbinafine with standard 90-day treatment (and not necessarily immediately after or during use)? Perhaps a year or two later? I don't think there is a correlation nor does the hepatologist, but this has happened to a patient. If I hear some similar responses, I will have to consider a correlation. (And yes, I always do a baseline CBC and hepatic profile and repeat it four weeks out).
Thomas Buividas, DPM, Chicago, IL
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| RESPONSES/COMMENTS (CLINICAL) - PART 1A | |
From: Bryan C. Markinson, DPM
The poster does not state how many injections were given? I also fail to understand and have never understood the wisdom of a combination of soluble and insoluble steroids in the same injection. (I am assuming that the dexamethasone was a soluble preparation, although not stated). This is simply nothing more than not giving the full impact of an insoluble preparation, which I am not sure is even true as the soluble part is out of the injected area in about 30 minutes. To me, it's just wasteful. Over many years, I have never seen a rheumatologist or orthopedist use anything but insoluble, if steroids was the treatment they wanted. Putting soluble dexamethasone into the deltoid would be just as effective (or ineffective).
In any case, the description of the post-injection course and photo indicates possible fat necrosis, which clinically may represent itself by the prominence (visual) of cutaneous veins. I would caution further injection therapy. Since the patient is a TBI patient with right-sided weakness, perhaps some permanent offloading of the symptomatic left side may be prudent.
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| RESPONSES/COMMENTS (CLINICAL) - PART 1B | |
From: Subodh Choudhary, DPM
I have seen this mainly with Kenalog 40. It is mainly due to atrophy of the fatty tissues and possibly ruptures of arterioles and venules. You will still see further atrophy of the soft tissues in the area. More than likely, the reason is that the medicine was placed between the skin and fatty tissues - though the body would recover over a period of time (up to two years). There should be no further injection of any cortisone in the area at all (even the deep ones). Otherwise, the area would ulcerate. The skin would remain discolored, and atrophy would remain noticeable.
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NBPME Seeks Nominations for Board Seats
The following positions on the Board will be open for election to a three-year term at the Annual Meeting in August, 2014
• A candidate who is a podiatric physician currently in practice.
• A candidate who has served as a member of his or her state’s professional licensing board within the five years prior to the initial term.
• A candidate currently serving as a director of a podiatric residency program approved by the Council on Podiatric Medical Education.
Interested individuals should forward a letter and curriculum vitae no later than June 1, 2014 to: nbpmeofc@aol.com or NBPME, P.O. Box 510, Bellefonte, PA 16823.
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| RESPONSES/COMMENTS (CLINICAL) - PART 2 | |
From: Robert Bijak, DPM
The PDR distinctly says "don't rub in," so Dr. Turner instructs patients to rub it in! Game over! Also, what defense is there for the unfounded theory that he is "breaking up calcium with a surge effect." How unscientific and unproven. It makes podiatrists look bad to talk this way. In my opinion, this is dangerous, unproven advice. The fact he tried it on a 90-year old 100 pound woman speaks volumes. I don't care whom he lectures to.
Here's what you need to know. Podiatrists need to honestly determine if they are capable of evaluating the cerebral and cardiovascular status of a patient and...
Editor's note: Dr. Bijak's extended-length letter can be read here
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| RESPONSES/COMMENTS (NON-CLINICAL) | |
RE: Patient Compliance Plans
From: Lawrence M. Rubin, DPM
In 2000, the Office of the Inspector General (OIG) began advising all physicians in individual or small group practice to develop a voluntary, written compliance plan. The OIG and CMS-Medicare still promote the value of having a compliance plan as being a “mitigating factor” if the physician is accused of fraud or other wrongdoing when billing federal payers such as Medicare and Medicaid. The compliance plan includes such things as the practice’s rationale for billing specific codes for common services, particularly when there is high utilization of a particular code or codes. This is especially applicable to vague “routine foot care” code documentation requirements.
Now, in 2014, the “RACs, MICs, and ZPICs” are acronyms for fraud and abuse bloodhounds sniffing around physicians’ practices looking for ways to recover what they consider to be Medicare overpayments, or worse, overt fraud. They look very closely for problems, since their revenue depends on their success in finding problems. So, I am wondering if PM News readers are heeding the OIG’s advice by having a compliance plan, and if those who have them have found them to be of any value in responding to overpayment demands, etc.
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MEETING NOTICES - PART 1
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| RESPONSES/COMMENTS (MEDICAL/LEGAS) | |
From: Lowell Scott Weil, Sr.
As of 01/2014, we do not hire anyone who smokes. Those who smoke must clock out for breaks and leave the campus of our building, which is a no-smoking campus. This policy has been okayed by our legal department.
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MEETING NOTICES - PART 2
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| CLASSIFIED ADS |
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
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
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 to triad.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
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
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.
| | Guidelines |
- To Post a message, send it to: bblock@podiatrym.com
- Notes should be original and may not be submitted to
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RE: (Topic)
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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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