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PM News |
The Voice of Podiatrists
Serving Over 12,500 Podiatrists Daily
March 29, 2011 #4,120 Publisher-Barry Block, DPM, JD
A service of Podiatry Management http://www.podiatrym.com E-mail us by hitting the reply key. COPYRIGHT 2011- No part of PM News can be reproduced without the express written permission of Kane Communications, Inc.
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PODIATRISTS IN THE NEWS |
Stretching Calf and Achilles Tendon Can Prevent Heel Spurs: NY Podiatrist
Stretching your calf and Achilles tendon can prevent heel spurs, said Dr. Jean Archer of Eden Spa Foot Care in New York. “It helps to stretch the ligaments and the muscles in the bottom of the foot, and by [the calf and Achilles tendon] being more flexible, they’re less likely to be strained or cause strain to surrounding structures in that area,” she said.
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Dr. Jean Archer |
First, sit on the floor with your legs straight out in front of you. Loop a towel around your feet so that when you pull the towel toward your body, you feel the stretch in your calf muscles. Hold for 30-second intervals and then rest. Repeat until you feel nice and flexible.
Source: Jan F. Lee, S2SMagazine, [3/25/11]
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PODIATRISTS AND SPORTS MEDICINE |
OR Podiatrist Favors "Less is More" Approach to Running Shoes
Dr. Ray McLanahan of the Northwest Foot and Ankle Clinic suggests setting aside the thickly cushioned, anti-roll shoes and trying something lighter. The less-is-more approach has yet to enter the podiatric mainstream, he said. "It's mostly patients coming in and asking for it," especially after reading Christopher McDougall's Born to Run. The recent best-seller describes "ultrarunners" like Mexico's Tarahumara Indians, who jog hundreds of miles in sandals made from old car tires.
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Dr. Ray McLanahan |
Still, the professional podiatric community clings to the idea of arch support, even though a lifetime of it may actually weaken the arches, like a cast worn too long. "It doesn't really make much sense, when you think about it," McLanahan said.
Source: Julian Smith, The Oregonian [3/27/11]
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E-HEALTH NEWS |
Meaningful-use Attestation Starts April 18
The window opens April 18 for eligible professionals, hospitals and critical-access facilities to line up and attest that they've met their respective meaningful-use criteria and are eligible to receive Medicare incentive payments for the installation and use of electronic health-record systems under the American Recovery and Reinvestment Act of 2009.
During this first year of the Medicare program, both eligible professionals and hospitals must attest that they've met the criteria for 90 consecutive days. Registration opened in January for both eligible professionals and hospitals for the Medicare EHR incentive program.
Source: Joseph Conn, IT Strategist [3/28/11]
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MEETING NEWS |
DFCon 2011 Marks Record Attendance
The Diabetic Foot Global Conference (DFCon) in California concluded on Saturday, March 26, 2011 as nearly 1,000 attendees from all 50 states and 50 countries travel back to their clinics to implement new strategies to prevent diabetes-related amputations. The faculty was as diverse as the audience presenting new information on topics like vascular disease, foot infections, reconstruction, and chronic wounds. Workshops gave participants hands-on experience with all sorts of new tools that can be used to treat wounds and vascular disease.
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(L-R) Dr. Joseph L. Mills receives Award from Edward James Olmos. |
The conference is the setting for the annual Edward James Olmos Award for Advocacy in Preventing Amputations in Diabetes. The 2011 award recipient was Joseph L.R. Mills, Sr., MD, a vascular surgeon from the University of Arizona in Tucson, Arizona. Preparations are underway for DFCon 2012, which will mark the 10th anniversary of the premier meeting.
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SUCCESS TIPS FROM THE MASTERS |
Editor's Note: PM News is proud to present excerpts from Meet the Masters.
Bret Ribotsky: What have you noticed about different casting techniques when you teach students?
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Dr. Beth Jarrett |
Beth Jarrett: Teaching the neutral position of weight-bearing is not an easy thing to do. I think that in terms of getting students to understand foot position, when they actually can hold the plaster cast in their hands and see what the foot looks like, it works much better. In terms of casting and comfort and reduction in symptoms, there was actually a study done probably 15 years ago or so. They compared an orthosis made with the pressure weight-bearing cast to an orthosis made with a neutral position off-weightbearing cast orthotic. Initially, the partial weight-bearing cast orthosis was more comfortable, but down the road, the off-weight-bearing neutral position cast orthosis turned out to be more comfortable and provided better relief of the symptoms.
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Dr. Alan Catanzariti |
Meet the Masters is broadcast each Tuesday Night at 9 PM (EST). The next segment will feature Dr. Alan Catanzariti, Director of Podiatric Residency Training at The Western Pennsylvania Hospital. You can register for this event by clicking here
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PRACTICE MANAGEMENT TIP OF THE DAY |
Two Kinds of Feedback Keep Staff on Track
Giving feedback is important. Giving the right kind of feedback is even more important. Make sure that you tell employees when they:
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Meet or exceed expectations. Tell them that they are on course. Let them know what they did right and encourage them to do it again.
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Fail to meet expectations. Let them know that they are off course. Lead them to decide what they need to do to restore positive progress.
Bottom line: Employees want and need direction. Like flying a plane or driving a car, maintaining course requires constant small adjustments.
Source: Adapted from “Real-Time Performance Reviews,” Jim Whitt, Purpose Unlimited via Communication Briefings
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QUERIES (NON-CLINICAL) |
Query: Basic Website Cost
I am embarrassed to say that I do not have a website yet for my office. I finally got on the stick and started contacting various companies who do medical and podiatry websites. What should I reasonably expect to pay for a good, clean basic website for my office?
Thomas E. Silver, DPM, Golden Valley, MN
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RESPONSES / COMMENTS (CLINICAL) - PART 1a |
RE: Obesity and Foot Pain (Juliet Burk, DPM)
From: Jon Purdy, DPM
I must take exception with Dr. Burk claiming Oklahoma as the state with the highest rate of heart disease. Here in Louisiana, we claim that distinction and seem to take pride in it. I believe we will hold our title again this year.
In residency, I had a 300 pound plus patient with Achilles tendonitis. After all conservative means were exhausted without resolution, I explained that surgery was the only other option. She was more than ready for the knife but I informed her that the failure rate was increased significantly with her weight. I suggested that she try to lose some of it prior to serious surgery consideration. I could see her bowing up as I explained the problem. With every sentence, she increased her volume. “I tried them light meals. I can’t eat no light meals! I need HEAVY meals!.” And, now in my face and angry, screamed, “I’M HUNGRY NOW!” I wonder what happened to that sweet thing.
Jon Purdy, DPM, New Iberia, LA, Podiatrist@mindspring.com
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RESPONSES / COMMENTS (CLINICAL) - PART 1b |
RE: Obesity and Foot Pain (Evan Meltzer, DPM)
From: Michael M. Rosenblatt, DPM
Dr. Evan Meltzer states that he practices in the "most obese State in the Country"...(city, Jackson, MS). I have never been in Jackson, MS, but I have been to Tillamook, OR, where I was shocked by the morbid obesity of almost everyone I saw there.
We went out for dinner to a Chinese restaurant and I turned around to see not ONE person, man, woman or child under 300 lbs. The order I got was enough for 3 people. I cleared all the artificial gravy off it and ate a corner of it. I don't consider myself a "light" person, but I was a rail compared to that population. This is a catastrophe waiting to happen. The costs of treating those people for the degenerative diseases they have will suck Medicare dry, even if they "die young." Their podiatric prognosis is incredibly bad. My heart goes out to them.
Michael M. Rosenblatt, DPM, San Jose, CA, Rosey1@prodigy.net
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RESPONSES / COMMENTS (CLINICAL) - PART 1c |
RE: Obesity and Foot Pain (Scott Shields, DPM)
From: Jerry Katz, DPM
If we do not counsel our patients on body weight, not only on their pedal well-being, but on their overall health, we are doing a disservice to both our patients and ourselves. We, as physicians, should be familiar with terms such as body mass index, waist circumference, waist to height ratio, and ideal body weight (the latter not being used any more in preference to healthy body weight).
You can further expound on the discussion to include...
Editor's note: Dr. Katz's extended-length letter can be read here.
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MEETING NOTICES
DON’T COME TO THE CHERRY BLOSSOM DERMATOLOGY SEMINAR JUST TO EARN THE CREDITS.
COME FOR THE EXCEPTIONAL UNIQUE LECTURES
THIS IS NOT YOUR TYPICAL PODIATRY SEMINAR
April 30 – May 1, 2011 Baltimore, MD 12 CME’S
Never has there been a meeting with the top dermatology speakers and educators – all under one roof: Bradley Bakotic, DPM, DO, Harvey Lemont, DPM, Marc Brenner, DPM, Tracey Vlahovic, DPM, Steven McClain, MD, Elliot Udell, DPM, Dennis Shavelson, DPM, Richard Scher, MD – past president AAD, Scott Norton, MD – past chief of Derm. At Walter Reed, Brian Adams, MD – Univ of Cinn Sports Derm Clinic, Robin Sult, RN – Laser Physics and applications
Go to www.dermfoot.com and register for program online with Paypal. Or contact Joel Morse, DPM at foxhallfoot@aol.com or 202-966-4811.
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RESPONSES / COMMENTS (NON-CLINICAL) |
RE: Idea for Interactive Foot Museum
From: Jack Buchan, DPM
There is an exciting opportunity to develop an exhibit for a local center of science and industry complex in Columbus, OH regarding feet in a large comprehensive health exhibit seen by over a million people per year. This must be an exciting, interactive exhibit that would educate adults and children about the complexities of the foot, its evolution, and importance in our ambulation from youth to adult and also promote foot health ideas, and certainly include podiatry.
We are looking for ideas from current exhibits around the country or thoughts that could help promote lower extremity awareness to the thousands of visitors that will visit every year. Please send ideas, or if you have already “invented the wheel”, I would love to talk with you so we can spread the word! Our hope is that this is something that could be shared and actively promoted among the many science museums of the country. All ideas and contacts are welcome.
Jack Buchan, DPM, Columbus, OH, Jbuchan3@gmail.com
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CURRENT TOPICS BEING DISCUSSED ON CODINGLINE'S LISTSERV INCLUDE:
o CPT 97597 Pre-authorization?
o G0440 vs. the CPT 15000 Series Codes
o ICD-9 for HBO for Failed Skin Grafts
o Total Control Orthosis (AFO) Coding
o Reporting PQRS Measures with Diagnoses
Codingline subscription information can be found here
APMA Members: Click here for your free Codingline Silver subscription
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CLASSIFIED ADS |
ASSOCIATE POSITION - CT - (FAIRFIELD AND NORTH HAVEN)
Join one of the largest podiatric groups in Connecticut. Well-established and progressive offices, including EMR, digital x-ray, vascular and NCV studies, Pinpointe and CO2 lasers, diagnostic ultrasound and electrical stimulation therapy. You can expect a full schedule of patients the day you start, and a very competitive salary. For more info www.greatfootcare.com. Send resume to Dr.Kassaris@yahoo.com
POSITION AVAILABLE – PHOENIX, ARIZONA
Full-time or part-time position available for an associate to join a modern, well established practice. Needed is a motivated, hard-working, well-rounded, surgically-trained podiatrist to complement our office. Excellent income potential with possible partnership opportunity available. Arizona license required. Email CV to Foot.doctor@hushmail.com
ASSOCIATE POSITIONS - NW INDIANA, CHICAGO AREA
2 Full-Time positions open - One for Northwest Indiana and one for the Chicagoland area. Must have 2-year surgical residency. Must be motivated and a self-starter. State License required. If interested email: f-massuda@footexperts.com
ASSOCIATE POSITION - MARYLAND
Associate position for podiatry office on Maryland’s Eastern Shore. Certified ambulatory surgery center on-site. Please fax letter and CV to 410-749-6807.
ASSOCIATE POSITION - EAST TEXAS, DELAWARE
Looking for podiatrist to see patients in Nursing Home Facilities in East Texas and Delaware. AVAILABLE IMMEDIATELY. Please contact me at doconcall@aol.com.
POSITION AVAILABLE – NEW YORK
Well-established, multi-doctor podiatry practice with offices in Putnam and Westchester counties. Compensation based on productivity. Excellent opportunity for recent residency graduate to build skills and learn practice management. Full-time preferred but right part-time candidate will be considered. Email cover letter and CV to: Podiatry2011@gmail.com
ASSOCIATE POSITION - TEXAS
Are you looking for a busy, well-rounded practice experience?" Group practice in DFW area looking for a 3-year surgically-trained associate with a sports medicine background. Needs to be as comfortable making orthotics as fixing a complex flat foot. Email CV to crane@faant.com
ASSOCIATE POSITION - NYC, NY
Part/time, full/time associate for busy, well established multi-doctor, multi-office NYC group. Seeking motivated, ethical, NYC licensed DPM with excellent office management and clinical skills in all phases of Podiatry. Board Qualified/Certified preferred. Salary plus incentives, pension/medical/dental. Partnership potential. E-Mail CV to urbebe78@aol.com
EQUIPMENT FOR SALE - COOL TOUCH LASER
Cool Breeze Cool Touch CT3 plus laser used for ugly, unsightly, toe nail infections. Less than six months old. Great price won't last long. Considering a laser? We also have the Q- Clear Q- switch laser too. This laser is perfect for you. Also a used Lumix 2 laser, best price today Dr. Zuckerman is in the Fort Lauderdale area and will demo this lasers on your patients. E-mail footcare@comcast.net
EQUIPMENT FOR SALE - DOPPLER, SURGICAL INSTRUMENTS
Koven Technology Smartdop 45 hand-held bi-directional vascular ultrasound Doppler with real-time waveform LCD - like new in carry case. all attachments for ABI and Digital PPG & PVR. AC charger and computer cords included. Also available are surgical hand instruments, rasps, Weitlanders, stats, needle holders, retractors, and more. Email. Podassociate@aol.com
PRACTICE FOR SALE - WASHINGTON STATE - SUBURBAN SEATTLE
16 year established part time practice. Includes Midmark 417 (4 position keypad), Excel X-ray, processor, Ritter M9, instruments, bandaids, etc. 1 Day/week $50K gross. Professional Business appraisal at $48K. Asking $35K. Shared office with 2 FP's. Easily expandable. Reply: practiceforsale18@yahoo.com
PRACTICE FOR SALE - MARYLAND, DC SUBURBS
Great opportunity. Well established and equipped practice for sale. Office includes state licensed Ambulatory Surgical Center. Present owner is retiring but will stay on as needed for smooth transition. Average gross over past 3 years is $575 K. dpmpracticeforsale@yahoo.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. Turn-key operation - no investment needed 516 476-1815 PODO2345@AOL.COM
PM News Classified Ads Reach over 12,500 DPM's 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 12,500 DPM's. Write to bblock@podiatrym.com or call (718) 897-9700 for details. Weekly ad rates start as low as $109 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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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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