The Voice of Podiatrists

Serving Over 14,000 Podiatrists Daily

March 19, 2013 #4,719 Publisher-Barry Block, DPM, JD

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Amputated Diabetics Have Worse Prospects Than Cancer Survivors: IN Podiatrist

A diabetic whose limb is amputated has a survival rate lower than that of most people who are in remission from cancer, Dr. Justin Hudson said. Hudson, a podiatrist who recently began practicing at Indiana University Health Morgan Hospital, wants to prevent the need to amputate feet and legs before it gets to that point.

Dr. Justin Hudson (Photo: Brian Culp)

“There are a lot of diabetics who don’t have access to proper wound care and they are the ones who end up having amputations,” Hudson said. “A lot of what we do is see diabetics before they have problems. If they are low risk, we like to see them once each year. If they are high risk, we want to see them every 60 days. We fit them with diabetic shoes with special inserts. If they have corns or calluses, we trim them down.”

Source: Brian Culp, Reporter-Times [3/17/13]

NJ Podiatrist Performs Heimlich Maneuver to Save Woman's Life

It was just a Saturday night dinner for Maryland psychologist, Dr. Ellen Lent, until a piece of food got caught in her throat.  What had been an enjoyable dinner quickly became a life-threatening event. While her husband frantically tried slapping her on the back, Dr. Lent turned blue and someone yelled, "Is there a doctor in the house?"  

Dr. Sharon Root

Fortunately, Dr. Sharon Root, a New Jersey delegate to the APMA House of Delegates was dining nearby and rushed to the rescue. Root performed the Heimlich manuever, and the offending  food popped out. A grateful Lent wrote a thank-you note to Dr. Root saying, "Thank you from the bottom of my throat."  

OH Podiatrist Promotes Right to Read Week

Dr. Bruce G. Blank, DPM, from Achilles Foot & Ankle, traveled to Bellaire Elementary School in Neffs to read a pair of Dr. Seuss books to the students as part of Right to Read Week, being celebrated throughout the week in the district.

Dr. Bruce Blank (Photo: Mike Hughes)

Blank donned his 'Cat and the Hat' headwear while distributing various props for the students to use, keeping them involved.

Source: Martins Ferry Times Leader [3/15/13]

APMA House of Delegates Convenes in Washington

The House of Delegates (HOD) of the American Podiatric Medical Association formerly opened today on an emotional note with a tribure to the late Irvin O Kanat, DPM. For over half  a century, Dr. Kanat was an institution at the HOD. By resolution, Dr. Kanat will be forever remembered along with podiatry legends Drs. William Stickel and Seward Nyman in the silent prayer that concludes all HOD meetings.

Attendees at APMA HOD

Other highlights of the first day were guest speeches by Ray Stowers, DO, American Osteopathic Association president, Alison Wishart, Chairman of the Society of Chiropodists and Podiatrists, and Joseph Stern, DPM, President of the Canadian Podiatric Medical Association.  Awardees included: Distinguished Service Citation - Harvey Lederman, DPM, Award of Excellence - Stuart Wertheimer, DPM, and Rising Star Award - Alyssa Stephenson, DPM.

St. Louis Podiatry Seminar Celebrates its 25th Year

The St. Louis Podiatry Seminar celebrated its 25th year of podiatric education with a record attendance. The meeting, held in St. Louis annually, presented sessions with discussions on dermatology, forefoot surgery, musculoskeletal disorders, reconstructive ankle surgery, edema, pediatric disorders, and practice management.

Attendees at St. Louis Seminar

170 podiatric physicians attended the 2-day scientific sessions. The meeting has been directed for all 25 years by Dr. Allen Jacobs.

Editor's Note: PM News is proud to present excerpts from Meet the Masters.

Bret Ribotsky: You have trained many residents over the years. Is there anything that stands out in selecting a resident?

Dr. Orlando Mercado

Orlando Mercado: What I looked for in a resident was a thirst for knowledge. And what I loved were those eureka moments when they got it.  I always taught concepts, and when residents got it, it was a thing of beauty.

Drs. Joel Morse, Elliot Udell, and Bryan Markinson

Meet the Masters is broadcast each Tuesday night at 9 PM (EST). This week's guest are dermatology experts Drs. Joel Morse, Bryan Markinson, and Elliot Udell. You can register for future events by clicking here

Query: Long-Term Pain, Right Foot 

A 20 year-old patient reports that about 4 years ago, he sustained second degree burns (from a hot grease spill) which did heal. As a child, he  had surgeries on both feet for club feet. He currently reports a constant burning pain, deep pain, and shooting pain on the right foot. Sitting/lying down is not as bad, however, once he is on his feet for about 5 minutes or so, the discomfort becomes severe and he has great difficulty ambulating.  The pain is generalized, but mostly around the talonavicular joint. No radiating pain is noted. 

Chronic Pain in Right Foot

An EMG nerve conduction study revealed a right common peroneal nerve problem. The feet are very rigid and have a cavus deformity. ROM was 0 at the ankles and subtalar joints bilaterally. The great toes had minimal ROM. He had extremely atrophied musculature in the lower legs. Semmes-Weinstein 5.07 monofilament feeling was absent on the sub-third and sub-fifth metatarsal heads, lateral arch, and on the heel right foot. The patient had normal Semmes-Weinstein 5.07 monofilament on the left foot. Light touch was diminished on the right. No allodynia was noted even on the burn sites. He has been unsuccessfully treated with various pain medications, including narcotics. X-rays reveal an obvious dislocation of the navicular.  I’m looking for ideas on how to treat this patient.  

Edmond F. Mertzenich, DPM, MBA, Rockford, IL

RE: Forefoot Surgery on an 84 Year Old (Joseph Borreggine, DPM)
From: Paul T Slowik, DPM, Peter Bregman, DPM

Although I feel the procedures you have chosen may be indicated, the likelihood of providing long-lasting relief is small weighed with the risks of performing that much surgery and the post-op recovery time on an 84 year old.

With a chief complaint of bilateral second hammertoes, I simply suggest disarticulating amputations at the second MPJs. Flexor tenotomies could be considered for the remaining lesser claw toes. Both feet can be done concurrently, ambulatory at once, and both of you will sleep better at night

Paul T Slowik, DPM, Carlsbad, CA, foothold@msn.com

Without seeing any x-rays, here are my thoughts, based on my experience. Check for equinus and fix it, if needed. There is no need to repair the plate if doing Weil (see article by L Yao, 1994 AJR). Then handle all else via minimal incision technique. Soft tissue rebalance as needed from lateral to medial, then address the hallux varus last, as needed, keeping in mind that fusion or tightrope technique are good options.

Peter Bregman, DPM, Las Vegas, NV, drbregman@gmail.com

RE: Suggestions for Painful Bunion (Tip Sullivan, DPM)
From: Dennis Shavelson, DPM

There are two things of importance biomechanically. There is a met adductus, reducing the true IM. That will prevent you from closing the IM adequately. There is periosteal thickening of the 2nd and 3rd mets, correlating to the flexible forefoot FFT. I wonder if her callus pattern confirms this (2 or 2-3)?

Consider “pushing” or “cheating” an Austin bunionectomy, and try to get as much plantarflexion from the osteotomy as possible. Consider shortening the 2nd or 2nd-3rd mets or MISing them with a post-orthotic, prn to adjust the met pressure parabola and prevent transfers.

Dennis Shavelson, DPM, NY, NY, drsha@lifestylepodiatry.com

RE: Comments of Christopher McDougall
From: Jeffrey Root

Kevin Kirby, DPM recently shared an article with me in which he was interviewed by Andrew Tilin about minimalist and barefoot running for an article in Outside Magazine. Christopher McDougall, an advocate of minimalist or barefoot running was quoted in a section of the article which read: “I get adamant and foamy mouthed about this.” He says, “Podiatrists aren’t research scientists. They’re chiropractors for the feet. When you look at how the intellectual manpower is dividing up, the doctors and PhDs are on the side of minimalism. They’re the greatest minds in the business.”

Not only was I astounded by Mr. McDougall’s lack of knowledge about the scope of modern-day podiatry, I was surprised by his generalization about the status of opinion of the greater scientific and medical communities with respect to running. I was all the more taken aback by Mr. McDougall’s comments after reading the following near the top of the page about barefoot running on his website: “I can’t prove this, but I believe when my runners train barefoot, they run faster and suffer fewer injuries.”— Vin Lananna, Director of Track and Field for the University of Oregon and seven-time NCAA Coach of the Year. Needless to say, this wasn’t the scientific evidence I had expected to see given Mr. McDougall’s comments in Outside Magazine.

Jeffrey Root, jroot@root-lab.com

RE: New Residencies vs. Defunct Residencies
From: Michael M. Rosenblatt, DPM

I offer my congratulations to CPME for making a serious effort to birth new residency positions for graduate podiatrists. I know this is not easy, as I was once a residency director (for an existing one) myself. But there is still the issue of defunct programs. Even if you have been in practice for years, and your program/preceptorship no longer exists, you can be seriously affected by this issue.

At the present time, there is no mechanism for dealing with defunct residencies/preceptorships. Also, since some of these programs have been historically run through the aegis of individual podiatrists, some people have been DENIED their certificate and have no possibility for redress. Before you think that this can't happen to you, I will give you...

Editor's note: Dr. Rosenblatt's extended-length letter can be read here.

ASSOCIATE POSITION - N.E. INDIANAPOLIS (FISHERS/ANDERSON)

Full or Part-time associates to join board-certified podiatrist in diverse, modern podiatry practice in hospital and office settings. EHR, digital x-rays, PADnet, Cutera Genesis Plus laser, Pinpointe Laser, ESWT, mini-C-arm, all aspects of DME, and hospital affiliations with three networks. Limited wound care. No nursing homes. Current Indiana podiatrists welcome. Tremendous potential for individual(s). Send C.V. with salary and benefit expectations: john.lloyd@lloydpodiatry.com

ASSOCIATE POSITION - SOUTHERN CALIFORNIA

Requiring full-time podiatrist (PSR-24 or greater) in established Practice situated in a foothill community of Southern California. There is an existing patient base and a strong support team. Compensation is performance based with practically an unlimited earning capability. A possible buy-in is negotiable. Send resume to office@uplandpodiatry.com , titled, "Podiatrist".

ASSOCIATE POSITION - WASHINGTON, DC/ MD SUBURBS

Prominent, established two office practice seeking well rounded, personable, ethical individual with sharp medical and surgical skills. Must be 24/36 month trained, ABPS qualified or certified. Partnership opportunity with ownership potential. Competitive salary with benefits package. Please send CV to ponyrunner66@gmail.com

ASSOCIATE POSITION - CENTRAL FLORIDA

Associate position for busy practice in Central Florida. Competitive salary with complete benefit package available. Please send resume to cmedders@atlanticpodiatry.com

ASSOCIATE POSITION – PHILADELPHIA SUBURBS

Seeking an outstanding, highly motivated candidate with top-notch personal, clinical and surgical skills and training to join established & highly esteemed diverse practice. Full privileges available for entire podiatric spectrum of practice. Great opportunity with long term career potential. Respond with Resume, Photo, C.V. and references to footandankle22@aol.com.

ASSOCIATE POSITION - EASTERN SHORE OF MARYLAND

Seeking highly motivated, ethical, enthusiastic associate to join successful, well-established practice located in close proximity to Maryland and Delaware beaches. Certified/qualified by ABPS with rearfoot experience preferred. The practice incorporates surgery, wound care, sports medicine and general podiatry. Fully equipped office with diagnostic ultrasound, fluoroscopy, vascular testing, radio frequency ablation, six treatment rooms and three satellite offices. Main office has accredited ambulatory surgery center. This opportunity has excellent salary potential with benefits for the right individual. Send CV to dpmkthomas@gmail.com

POSITION AVAILABLE - WEIL FOOT ANKLE & ORTHOPEDIC INSTITUTE- CHICAGO

Weil Foot Ankle & Orthopedic Institute is expanding their presence in the Chicago metropolitan area and suburbs and is recruiting qualified podiatric surgeons. A three-year residency is required and a podiatric fellowship is preferable. Current practicing podiatric practitioners in Chicago and surrounding area are also welcome to join our rapidly expanding practice that currently numbers 16 DPMs, a neurologist, an orthopedic surgeon, and a primary care sports medicine physician. For more information contact: info@weil4feet.com or call Stephanie Spiegel, COO at 847-390-7666.

ASSOCIATE POSITION- SUBURBAN PHILADELPHIA

Full time, PSR 24-36 month trained podiatrist needed for busy suburban Philadelphia group practice. Multidimensional, multi-office group treating a wide range of patients including forefoot, rearfoot & ankle surgery, diabetic wound care, sports medicine, and workrelated injuries. Office & diagnostic equipment state-of-the-art. Full benefit package included with bonus incentive. Position available starting July, 2013 excellent opportunity leading to partnership. Please email to: bailliemw@gmail

ASSOCIATE POSITION - NORTHWEST IOWA

A well-established, midwest multi-physician practice with strong hospital affiliations seeking FT podiatrist. Applicant should be well trained surgical physician, completed a 12/24 month residency, & board eligible. Practice offers high surgical volume, advanced wound care and good mix of general podiatry. Competitive salary, excellent benefits. Fax resume: 712-258-9977.

ASSOCIATE POSITION - HOUSTON, TEXAS

PSR 24+/ Equiv. DPM, Texas license, Busy diverse practice. Greater Houston Area, Guaranteed Salary and benefits All Aspects of Podiatric Medicine and Surgery. Board eligibilty, Bilingual A Plus. Send CV to Randal Lepow at rmldpm1@att.net

ASSOCIATE POSITION - ORANGE COUNTY, NY

Looking for a highly motivated surgical trained podiatrist in the Orange County, NY (West Point area). Hospital, wound center and surgical center affiliated. It is a busy practice that covers hospital inpatients, Wound Center, and takes ER call. The applicant has to be trained in all foot surgery and be able to handle advanced diabetic wound care. The practice is a 1 hour car ride from NYC and is close to hiking, fishing ,skiing and state parks. Please Email a CV and contact info to clsp4@yahoo.com

ASSOCIATE/PARTNERSHIP MIAMI/KENDALL FLORIDA

Podiatrist with interest in foot and ankle surgery and comprehensive foot and ankle care. Pathway to partnership/ownership available. Send CV and information: ibaumdpm@bellsouth.net

ASSOCIATE POSITION NEEDED FOR CENTRAL FLORIDA

FT/PT associate needed for nursing home work. Great compensation and a great way to supplement your income. Must be willing to travel. Contact us at (786) 975-2090 or fax to (847) 674-2113 you may also email to feetwork@aol.com.

SPACE AVAILABLE - NYC & LI

Office to sublet and share - East 60th Manhattan, and Plainview, Long Island. access to an MRI, Joint Commission certified operating rooms, digital x-ray, diagnostic ultrasound, and access to a multi-specialty ambulatory surgical center. Also availability E 22nd between 2nd and 3rd and E 70th off 3rd. Turn-key operation - no investment needed PODO2345@AOL.COM 516-476-1815

EQUIPMENT FOR SALE - COMPLETE AMFIT ORTHOTIC FABRICATION SYSTEM

Complete Amfit Orthotic Fabrication System with Footfax SL Contact digitizer-3 years old. System includes milling machine, 2 PCs, all cords, parts, hardware and assorted insole blanks. $45K New, Asking $10K. E-mail inquiries to: sportsmed@fdfac.com

EQUIPMENT FOR SALE - USED Q-CLEAR LASER

Still under warranty. New laser head just added. First Best Offer. Marketing and training included. Dr. Zuckerman will train you. e-mail with questions to footcare@comcast.net

ACADEMIC POSITIONS - SCHOLL COLLEGE

The Dr. William M. Scholl College Podiatric Medicine is seeking up to three full-time academic podiatrists to train and lead the next generation of podiatrists in an interprofessional, multicultural learning environment. Applicants must be board qualified with preference for board certification in foot surgery and reconstructive rearfoot/ankle surgery. Salary and academic rank will be commensurate with scholarly credentials. Contact Robert Joseph DPM, PhD at Robert.joseph@rosalindfranklin.edu or (937) 479-1793. Rosalind Franklin University of Medicine and Health Science is an Equal Opportunity/Affirmative Action Employer. The administration, faculty and staff embrace diversity and are committed to attracting qualified candidates from historically underrepresented groups.

PRACTICE FOR SALE - LOS ANGELES, CA

Practice is in Boyle Heights area since 1998. 70%MM the rest consist of Cash/PPO/HMOs. Last 4 years grossed between 200-350k in a down economy. Constant referrals from PCPs in the area. Includes Padnet, and all podiatry equipments. Asking 130k. Please email me only footdoc525@yahoo.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

PRACTICE FOR SALE - WEST PALM BEACH FLORIDA

Well established successful West Palm Beach practice grossing $475K with excellent reputation and good referral base. Consistent new patient growth, great opportunity with increased gross revenue and surgical growth potential. EHR implemented with meaningful use criteria met. Great area to live and work. Serious inquires E-mail wpbfootdrs@gmail.com

PRACTICE FOR SALE - MISSION VIEJO, CA

Relocating to Tulsa. Great opportunity to buy my office. Located at Mission Hospital. Gross income 2012 was $560,000. Approximately 1300sqft with 3 treatment rooms, digital x-ray and fully computerized. Will consider all offers. Call David at 949-702-1052 or david@missionviejofootcare.comPM News Classified Ads Reach over 14,000 DPMs and Students

Whether you have used equipment to sell or our offering an associate position, PM News classified ads are the fastest, most-effective way of reaching over 14,000 DPMs. Write to:bblock@podiatrym.com or call (718) 897-9700 for details. Weekly ad rates start as low as $115 for a 50-word ad. THIS OFFER DOES NOT APPLY TO BUSINESSES PROVIDING PRODUCTS OR SERVICES. Note: For commercial or display ads contact David Kagan at (800) 284-5451.

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