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PMNews
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| PM News | |
The Voice of Podiatrists
Serving Over 18,807 Subscribers Daily
March 15, 2018 #6,144  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2018- 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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How do you grind mycotic nails? |
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| PODIATRISTS AND DIABETES | |
Diabetics Need to Seek Rapid Treatment for Foot Problems: IN Podiatrist
If you're an adult with an open, swollen, or painful foot wound, or a callus or bunion that doesn't seem normal, doctors say patients too often delay getting a professional opinion. And the risk can be even more dangerous if you have diabetes. If not caught early or controlled, diabetes can lead to serious health complications including premature death, vision loss, heart disease, stroke, kidney failure, and amputation of toes, feet, or legs. This is why it's so important to take action and get tested.
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Dr. Christopher Winters |
"If they sit on this for even weeks, they can get very, very infected, get into the bone...and then that is very difficult to treat with just antibiotics alone, and then that usually becomes a surgical problem that leads to the hospitalization, the amputation, and then it just becomes a downward spiral after that," Dr. Christopher Winters explained. He's a podiatrist with St. Vincent. "They may lose a toe, a half a foot, a leg, and a life ultimately, so they can't delay."
Source: Anne Marie Tiernon, WTHR 13- TV [3/13/18]
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| ON THE INTERNATIONAL LECTURE CIRCUIT | |
TX Podiatrist Co-promotes for PhD Dissertation in the Netherlands
Lawrence Lavery, DPM, Professor and Director of Research in the Department of Plastic Surgery at the University of Texas Southwestern Medical Center, in Dallas, was the co-promoter for Dr. Suzanne van Asten’s PhD dissertation at the Free University in Amsterdam.
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(L-R) Drs. Lawrence Lavery, Suzanne van Asten, and Edgar Peters |
The title of Dr. Van Asten’s dissertation was titled "Biomarkers to Diagnose and Monitor Osteomyelitis in Diabetic Foot Osteomyelitis". Dr. van Asten was a research fellow in Dr. Lavery’s research group for two and a half years. She is the third Dutch physician to receive their PhD from work conducted with Dr. Lavery.
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| RELEVANT RESEARCH | |
Opioids Unnecessary After Surgery in Some Cases
After carpal tunnel or stenosing tenosynovitis release surgery, acetaminophen, ibuprofen, and oxycodone work equally well for pain relief, researchers report. "It's become standard that if you have any procedure, you get opioids," said investigator Asif Ilyas, MD, from the Rothman Institute in Philadelphia. "We're trying to challenge that dogma."
"Orthopedic surgeons are one of the highest-volume prescribers of opioid medications," he told Medscape Medical News. "Our intentions are good, but there are a lot of unintended consequences." In fact, one study showed that about 6% of patients given opioids for the first time were still using them 90 days after a surgical procedure (JAMA Surg. 2017;152:e170504). Americans consume vastly more opioids per capita than people in the rest of the world, said Ilyas, and these drugs are now the leading cause of death among young people in the United States.
Source: Laird Harrison, Medscape Medical News [3/7/18] via Dr. Paul Kesselman
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| PRACTICE MANAGEMENT TIP OF THE DAY | |
Reducing Clinician Burnout in EHR-Related Areas - Part 3
Even at a tech conference, Martin Pricco, MD, president of Gould Medical Group in Central Valley, CA isn't afraid to name one of the major culprits of physician burnout. At Gould Medical Group, Pricco wasn't content to let EHRs get in the way of physician contentment. The group looked at five areas where they could reduce frustrations with the EHR:
3. Visit Note Documentation:
Since most of the EHR use time at Gould Medical Group was physicians documenting progress notes, this was an important area for improvement. The EHR was built with numerous methods for physicians to chart: dictation, voice recognition, template and keyboard, scribes, remote scribe technologies, or a combination. "We give everyone choice — you can do what you want, you can experiment with these various techniques and find the method that works best for you. We give people options. We don’t coerce them one way or another," he said.
Source: Gabriel Perna, Physicians Practice [3/9/18]
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| QUERIES (MEDICAL-LEGAL) | |
Query: "Permanent and Stationary" Under Workers Comp
I have been an employee for an HMO for over 30 years that banned nail grinders due to lung health risks. I have been debriding toenails with nail clippers exclusively for the past 4 years, at about 18-24 patients per day, 5 days a week. During the past 4 years, my right hand became so painful that I could no longer bend my thumb and developed a trigger index finger. I just had surgery about 9 weeks ago to release the tendon sheaths and I am supposed to go back to work in late March; however, my hand still swells and is stiff.
I was told by the Work Comp doctor that at the next visit in late March if I am not better by then that I would be considered "permanent and stationary"--which means I will be...
Editor's note: Name Withheld's extended-length query can be read here.
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| RESPONSES/COMMENTS (NON-CLINICAL) | |
RE: PM News’ "Top Podiatric Research Institutions"
From: David G Armstrong, DPM, PhD, MD
I have read with considerable interest the very thoughtful commentary largely bemoaning the perceived lack of emphasis on research in our podiatric medical institutions, worldwide. Perhaps we within this specialty could take a hint from other institutes of higher learning and make a list - because everyone loves a list. I suggest a PM News "Top Podiatric Research Institutions" ranking much as U.S. News or others rate other institutes of higher education.
The metric might be based on self-reported annual: a) federal/not for profit research funds, b) industry-sponsored research funds, c) publications per faculty member, per calendar year, d) h-index or i10 index (a measure of per-publication impact) for faculty members. All of these could be collated by the editorial staff and reported.
Not a week goes by that one of us reading this note gets a call from a prospective student asking "what's the top school in the specialty?" While this is always subjective, the fact of the matter is that we can't manage what we can't measure. This might be a nice start and I think it could give some friendly competition that could do nothing but improve education, research, philanthropy, and ultimately clinical care.
I am sure that each of the deans of our specialty's institutions would be happy to report these findings. Bragging rights are often powerful motivators for countering institutional inertia. Schools that don't report would be glaringly evident. I am equally sure that we would love to see these rankings posted and increase over time.
David G Armstrong, DPM, PhD, MD, Los Angeles, CA
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| RESPONSES/COMMENTS (PM NEWS QUICK POLLS) - PART 1A | |
From: Dan Michaels, DPM
We have banned all forms of grinding of nails. We use Miltex double-action nail nippers with straight jaws for debriding nails. These are very similar to double-action bone cutters. Patients are satisfied with this. You can get the thickness and the length with this method. You don't put yourself at risk of inhaling any irritants this way, and you can sterilize (with autoclave) your instruments when done. I published my instrument preparation protocol in PM News (and in Podiatry Management Magazine) a few years ago.
Dan Michaels, DPM, Frederick, MD
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| RESPONSES/COMMENTS (PM NEWS QUICK POLLS) - PART 1B | |
From: Elliot Udell, DPM
When literature out of England came out many years ago showing that podiatrists who grind mycotic nails were at risk of developing pulmonary problems, I took all of my drills and tossed them in the pail. Being an allergy sufferer, even the expensive vacuum systems did not prevent me from wheezing after doing a nail grinding.
How did my patients react to this change? Some left for other podiatrists, but most stayed. I explained to them that not only will they be breathing in their own mycotic nail dust, but they will be breathing in the infected dust from every other patient we saw in the last 12 hours.
I also believe that there are OSHA laws that require that a treatment room be left unused after grinding infected nails for a period of 8-12 hours. This makes sense and I do not regret not grinding toe nails. We all took the oath to help and do no harm, and grinding mycotic nails dances on the border of violating this oath.
Elliot Udell, DPM, Hicksville, NY
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| RESPONSES/COMMENTS (PM NEWS QUICKPOLLS) - PART 1C | |
From: Bryan C. Markinson, DPM
32% of podiatrists reported respiratory conditions, 73.3% used gloves, 4.6% used respiratory masks, 16.8% used protective aprons, 15.8% used eye protection, 15.8% used room ventilation systems, 47.5% used nail drills with an exhaust system, 11% used nail drills with water spray dust suppression. All control measures were not...
Editor's note: Dr. Markinson's extended-length letter can be read here,
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| RESPONSES/COMMENTS (CODINGLINE CORNER) | |
From: Cosimo Ricciardi, DPM
Recently there was a post by Dr. Blum about collecting cash from Medicaid beneficiaries. I have always thought that you cannot do this. If a patient has Medicaid and a physician doesn’t accept that Medicaid, that physician cannot bill the patient.
I write this because I’m pretty sure it’s a federal statute and I don’t want my colleagues to think it’s okay to collect cash from Medicaid beneficiaries. I would also like to know if I am incorrect. Perhaps one of the more qualified billing experts can opine.
Cosimo Ricciardi, DPM, Ft. Walton Beach, FL
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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Perfect for a St. Patrick's Day race? |
Source: sneakerfiles.com
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MEETING NOTICES
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| CLASSIFIED ADS - PART 1 ASSOCIATE POSITIONS AND FELLOWSHIPS |
ASSOCIATE POSITION WANTED - HUDSON VALLEY, NY
Full time associate position in a busy office. Broad responsibilities including wound care, trauma call, hospital rounding, etc. Surgical based practice with privileges to local hospital and surgical center. Comparable pay. Position available Sept. 2018, will wait for right graduate. Office is located in the beautiful Hudson Valley. Close proximity to NYC as well as a multitude of outdoor activities. Please send CV in an email to hudsonvalleypodiatrist@gmail.com
POSITION AVAILABLE - GETTYSBURG, PA AND FREDERICK, MD
Well-established practice is seeking associate for partnership and buy out. One senior partner looking to slow down and then retire. I will teach you to become a top earner in the field. Don't miss this opportunity! drhenrock@yahoo.com. Dr. Scott Henry 301-514-9781. AtlanticFootSurgeons.com
ASSOCIATE PODIATRIST - TRISTATE AREA, MARYLAND
Great team players wanted for Group Practice with several locations. Full time associate positions are available. We offer state of the art facilities with well-trained support staff, in-office surgical center, ultrasound, DME, EMR, x-rays, etc. This amazing opportunity comes with a competitive salary, excellent benefits and bonus structure. Please email letter of intent and CV to mynewposition75@gmail.com
ASSOCIATE POSITION - PODIATRY GROUP IN LOS ANGELES
Join the group/limb preservation team and teaching faculty. Must be well trained in limb preservation, trauma, and reconstructive foot and ankle surgery. Send CV to podiatricri@yahoo.com, attention Stan Mathis, DPM.
ASSOCIATE POSITION – WASHINGTON METROPOLITAN AREA
Looking for an eager podiatrist to join our growing protocol-based practice. We have 2 offices with certified EMR, fully trained staff, full-time marketer, shoe store in each location and digital x-ray machines. Hospital privileges available near each location. The ideal candidate will be self-motivated and will be busy from the moment they are hired! We are looking for a well-rounded personable podiatrist. Please send your CV and cover page to footdocs17@gmail.com.
ASSOCIATE POSITION – DAYTON, OHIO
Highly respected and growing, four podiatrists, 4 location practice seeking PSR-36 board certified/qualified foot and ankle surgeon. Must be dedicated, hardworking, poses excellent clinical and surgical skills, high-quality patient care, wound care. Practice is equipped with certified EMR, digital x-ray, laser, ultrasound guided injections, Cutera Laser, regenerative medicine and PRP all aspects of DME. Meaningful Use attested, MIPS-ready. On staff 4 hospitals, no nursing homes. Highly trained staff. Send CV, salary requirements to ohiosurgeons@gmail.com Excellent compensation plan, base salary and bonus, 401k plan, medical insurance, malpractice, paid vacation, holidays, CME. Signing bonus, ownership via deferred compensation plan.
ASSOCIATE POSITION – NASSAU COUNTY, NY
Exciting opportunity! Busy Nassau County, NY office seeks full time podiatrist. State of the art facility. Complete EMR, digital radiograph and diagnostic ultrasound. Excellent salary and benefits. Must be board qualified. Please e-mail resume to medicalofficeinquiry@gmail.com , or call: 516-902-1073
MOBILE PODIATRISTS NEEDED - NEW JERSEY
Well-established and fast growing House-call podiatry practice (www.homefootcareservices.com) is looking for PART-TIME podiatrists to do home visits to home- bound patients in NJ, in particular North- Passaic, Bergen ,Hudson counties and South- Ocean county . Flexible schedule, administrative support. Send CV to lana.raginsky@homefootcareservices.com
ASSOCIATE POSITION - CHICAGO/NEAR WEST SUBURBS
Multi-location group - Immediate opening for ABFAS Board Certified/Eligible associate. Minimum 1 year’s private practice experience required. Surgical/ortho patient load. DME, Rx, Minimal Incision Sx, EMR, digital x-ray, laser, ultrasound, shockwave & MRI. Top pay, associateship & practice equity available for experienced candidates. Send CV drtsatsos@anklenfoot.com
PODIATRIST WANTED - NORTHERN & SOUTHERN CALIFORNIA
Podiatrist needed for practices in both Northern and Southern California. Professionally managed practice in long term care facilities. Excellent income potential with discretionary time. Please send CV and interest letter to dwayne8543@gmail.com
ASSOCIATE POSITION – PUERTO RICO
25 year old practice looking for energetic, well trained DPM. Near beaches, golf, great shopping. Two hospital based locations with available privileges. Great starting salary and benefits. Knowledge of Spanish language helpful. Please send CV to medicopodiatra@aol.com if interested.
FULL-TIME PODIATRY POSITION - BROOKLYN AND QUEENS, NY
Looking for podiatrist graduating from residency this July for our thriving practice in Brooklyn and Queens. EXCEPTIONAL compensation. Please email your resume to: Footcareemployment@gmail.com.
ASSOCIATE POSITION - HOUSTON, TX
Established, growing multi office, multi doctor practice seeking PSR-36 board certified/qualified foot and ankle surgeon. Must be personable, outgoing and motivated with excellent clinical and surgical skills. Practice is protocol-based, state-of-the-art equipped with the latest technologies and cutting-edge procedures with an extremely competent staff. Send CV, salary requirements to faajobs@gmail.com.
POSITION AVAILABLE - MIAMI, FL
Ethical, industrious podiatrist needed for house calls in Miami. Florida license and Medicare number required. Assistant provided. Send CV to info@drop-24.com or call Daniel Marck at 727.698.4661.
WANTED - ASSOCIATE PODIATRY POSITION
Non-surgical podiatrist with 10 years clinical experience in private practice and HMO looking for full time position, preferably on the west coast. ABPM certified and Spanish speaking. Interests include sports medicine, geriatrics, and biomechanics. Email jpmitnick@gmail.com for CV and more information.
PM NEWS CLASSIFIED ADS REACH OVER 18,500 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 18,500 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 PART 2 - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
PRACTICE FOR SALE - NORTHERN CALIFORNIA
Retiring. The practice comes with ready patient base in area of unlimited potential. Awesome locale with lakes, mountains and rivers in every direction. $200,000 buys the building and well established practice. Seller willing to partially finance and stay as needed during transition. Seller also willing to consider renting or lease to buy. Please contact me with serious inquiries only and I will be pleased to discuss the particulars with you. A great opportunity!!! reddingpodiatry@sbcglobal.net
PRACTICE FOR SALE - PHOENIX METRO/EAST VALLEY
Small office, well established location. Primed for growth in family oriented area with bonus large retiree population. Close to multiple hospitals, surgery centers. New home developments/subdivisions literally around the corner. Email dlmeb5@yahoo.com for details.
PRACTICE FOR SALE - PORTLAND, OREGON AREA
Walk to one major hospital in 3' and drive to another in 9'. Prosperous area. 4 full treatment rooms. Digital x-ray, diag US, Doppler. Will stay 6 mos. to help transition. Respond to: OfficeofPodiatry@gmail.com
PRACTICE FOR SALE - SEATTLE SUBURB
25 year old sports and family oriented practice located in a highly desirable, affluent and well insured area. For details, reply to: footdoc@aol.com
PM NEWS CLASSIFIED ADS REACH OVER 18,500 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 18,500 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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| 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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