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| PM News | |
The Voice of Podiatrists
Serving Over 22,171 Subscribers Daily
March 29, 2022 #7,172  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management https://podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2022- 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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What percentage of your practice involves biomechanics (orthotics, surgery, and footwear)?
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| PODIATRISTS IN THE NEWS | |
NY Podiatrist Discusses Treatment of Verrucae
Plantar warts are hard growths caused by the HPV virus that appear on the bottoms of the feet — while they can be a nuisance and sometimes painful, they aren't generally serious and may even clear up with over-the-counter remedies. Duct tape, topical acids, and cryotherapy are several common methods that can all be used at home. "If home treatments are not successful after a few applications, seek the advice of a medical professional," says Bruce Pinker, DPM.
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Dr. Bruce Pinker |
Immune therapy and laser treatments are two options for stubborn plantar warts that must be prescribed by a doctor. Surgery to remove plantar warts is usually a last resort.
Source: Rebecca Strong, Insider [3/25/22]
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| PODIATRIC PODCASTS | |
NJ Podiatrist Discusses Validating Technologies With Studies
Ben Pearl, DPM interviewed David Zuckerman, DPM this week on his Fit Foot U segment. They discussed the importance of validating technologies in your practice with solid studies and pathologic evidence. Dr. Zuckerman recounted how he collaborated with Harvey Lemont, DPM with pathology specimens of the plantar fascia which at the time were speculated to be a "soft tissue malunion" by Zuckerman. After examining the specimens under microscope, Dr. Lemont coined the term plantar fasciosis, which he later expanded upon in a 50-case series paper on heel spurs that was published in JAPMA in 2003.
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Click on photo of Dr. David Zuckerman to view short video |
Also discussed was the importance of establishing reasonable controls for a specified time period that can be followed up. As it is the natural tendency for many painful conditions to get better over the passage of time, this is especially important in examining studies related to pain.
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| PODIATRISTS IN THE COMMUNITY - PART 1 | |
NY Podiatrist and NYCPM Student Lecture at Diabetes Screening
March 22, 2022 was Diabetes Awareness Day. Student Doctor Janice Therese Bautista of NYCPM and Jean Chen-Vitulli, DPM, MS gave diabetic foot care lectures and conducted diabetes foot screenings at Endocrine Associates of West Village along with other healthcare professionals.
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Janice Therese Bautista |
Attendees were made aware that COVID-19 can cause diabetes, and its symptoms were discussed. The half-day event also included blood sugar and blood pressure screenings. Samples of healthy food snacks were given to participants.
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| PODIATRISTS IN THE COMMUNITY - PART 2 | |
FL Podiatry Practice Now Accepts Bitcoin
JAWSPodiatry is now one of the first medical practices in South Florida to accept Bitcoin! Bitcoin, as you may have read, is a virtual currency that has generated a lot of headlines and has been growing in use and acceptance across the country and around the world. It is a distributed, peer-to-peer digital currency that functions without the intermediation of any central authority.
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Dr. Abraham Wagner |
JAWS Podiatry is a state-of-the-art lower extremity center led by Abraham Wagner, DPM. "Perhaps the greatest advantage of paying for medical treatment using Bitcoin is privacy and security. Additionally, by taking transactions out of the hands of your credit card company, your privacy can be better preserved, as those companies can legally access certain protected health information for the purposes of verifying the transactions."
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| PRACTICE MANAGEMENT TIP OF THE DAY | |
5 Crypto Investing Rules for Busy Doctors
Cryptocurrencies can be complicated and as a busy medical professional, you likely don’t have time to research tokens or the nuances of this specific asset class. As you invest into this emerging asset class, how will you know if you've set yourself up to do the right thing? As prices zoom up and down, it feels like you should do something in response to market movements...but what exactly?
1) Stick to your plan
These markets are very volatile and markets will go up and down. A lot. You can't control that, but you can dictate when and how much you invest. Be consistent, and focus on what you can control. Investors who chase good performance or run away from poor performance are less likely to be successful.
Source: Jesse Proudman, Medical Economics
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| RESPONSES/COMMENTS (CLINICAL) - PART 1 | |
From: Daniel Chaskin, DPM
The standard of care might be amputation of the digit or a transmetatarsal amputation (if more than one digit is involved).
The patient must agree to an off-label procedure or rather a departure from the current standard of care. Before even proceding, there are many potential considerations including:
1. Even if a vascular intervention is attempted, a posterior tibial nerve block might improve the circulation to the digit.
2. Off-loading all pressure off the digit is needed.
3. Using a dermatoscope to better make informed decisions regarding the debridement.
4. Obtaining a bone biopsy, to determine if there is any coagulation necrosis as well as identifying any organisms involved.
5. Treating the osteomyelitis and soft tissue infection with targeted antibiotic powder as well as an antibacterial, anti yeast, antifungal solution.
Daniel Chaskin, DPM, Flushing, NY
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| RESPONSES/COMMENTS (CLINICAL) - PART 2 | |
From: John Lanthier, BSc, DPM
I have read with interest the previous posts with bewilderment as I have never had a problem or concern achieving total anesthesia on a digit. However, this week, a patient came into the office with a chronically infected hallux that was insufficiently treated with multiple rounds of antibiotics and painful failed surgical intervention from the emergency department. We all get these, and you smile, knowing that this will be a chip shot and you will be the hero.
After two rounds of standard local anesthetic of 8cc total in a standard H block with Lidocaine and Marcaine and 20 minutes to allow it to work, the blocks failed both times; even after a repeat block. I felt that no more could be given as it was risking vascular compromise due to too much volume in a confined anatomical location. I did what had to be done and removed the retained nail pieces left in the borders from the previous failed attempts. The patient was in pain, and I felt terrible, but I had to do what I had to do to get the job done. Never say never.
John Lanthier, BSc, DPM, Sudbury, Ontario
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1 | |
From: Leonard Kuzmicki, DPM
We used to use 3-WEA on nails and calluses, but as Dr. Ressler notes, at the recommended dilution it wasn’t really softening enough, and at a more potent dilution, it made the skin slippery and also left a residue on treatment chair surfaces as it dripped off the foot. We had to quit using 3-WEA when it was discontinued years back. I switched the usual 10 blades to 313 chisel blades to trim calluses and never resumed use of 3-WEA when it started production again. The heavier blades don’t flex like the 10s going through thicker calluses and makes it much easier to take them down. The round beaver handles are more comfortable in hand than the scalpel handles too.
I replace my nail nippers more frequently as I found that having them sharpened wasn’t worth the time and expense and didn’t fully restore the fresh edge they had as when new. After eliminating the 3-WEA, I found that I was much happier to do routine foot care, and my work area and treatment chairs stayed much neater. I’ve had maybe a half dozen patients actually say that they missed getting the 3-WEA treatment.
Leonard Kuzmicki, DPM, Spring Valley, IL
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 2 | |
From: Robert Scott Steinberg, DPM, Jeffrey Kass
While streaming is convenient, state societies must have annual meetings to conduct the business of the association and hold elections. Offering in-person CME is the "hook" necessary to have enough members show up for a quorum.
Robert Scott Steinberg, DPM, Schaumburg, IL
I too agree with Dr. Chaskin. The real world is living in the digital age but our own profession prefers to keep us in the dark ages. We should be embracing technology. Who wants to sit through a full day of lectures and lose a day of work or with your family? I would much prefer to listen to one lecture on my own time. In New York, MDs do not need CME for re-licensure. Podiatry, still lacking parity, needs them. But, for Pete’s sake, let us get them how we want, when we want.
Jeffrey Kass, DPM, Forest Hills, NY
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| RESPONSES/COMMENTS (PODIATRIC PRODUCTS AND SERVICES IN THE NEWS) | |
From: Richard H. Mann, DPM
I was excited to hear of the launch of Orthotica Labs by Jason Kraus and Peter Karolidis. In my experience, their past ventures have all been characterized by extraordinary professionalism and the highest quality products. I am certain that this will be the case with Orthotica Labs and wish them the best of luck on their new venture.
Richard H. Mann, DPM, Highland Beach, FL
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| RESPONSES/COMMENTS (PM NEWS QUICK POLLS) | |
From: Steven Kravitz, DPM
In my previous post, I cited an important reference from the National Law Review. I think the reference is important and I would advise those who would be so inclined to copy the reference to demonstrate to their patients that the procedure is a non-covered service.
Dr. Abrantes states that the inappropriate billing for the service is the fault of the manufacturing companies that misrepresent the billing regulations. We should all be aware that according to Medicare guidelines, the lack of knowledge by the provider does not negate the requirements for reimbursement or the possibility of potential fraudulent charges. Lack of knowledge with billing/coding is not a viable defense should you be challenged by Medicare or the insurance carriers. The best advice is to contact your insurance carrier and find exactly what they do or do not cover and get it in writing.
Steven Kravitz, DPM, Winston-Salem, NC
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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Shoes for TSA airport security? |
Source: Chengxu Tian via Virtual Shoe Museum
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MEETINGS & WEBINARS
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NEED CME CREDITS FAST?
PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME
You can Earn up to 50 Continuing Education Contact Hours (CECH) Online
Earn 15 CECH only $279 (less than $19 per CECH)
podiatrym.com/cme.cfm
All required credits can be taken online for AL, AK, AR, CA, CO, DE, HI, IN, KS, LA, MA, ME, MI, MI, MS, NV, NJ, NM, ND, OH, OR, RI, SC, SD, UT, VA, VT, WV, and WI
Partial required credits can be taken online for AZ, FL, GA, ID, KY, IL, ID, IA, MD, MN, MO, MT, NE, NH, NY, NC, OK, PA, PR, TN, TX, WA, and DC
Choose any or ALL from 25+ CECH Category-1 articles posted
* NY podiatrists whose licenses expire from 3/2/20-7/1/22 may take all credits online
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| CLASSIFIED ADS - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
EQUIPMENT WANTED - DIGITAL X-RAY MACHINE
IN SEARCH OF: Gently used digital x-ray machine (and developer if needed for proper functioning) for central Florida podiatry clinic. Please send all details and pricing information including shipping to Guillaume Picot at CONTACTUS@FLFOOTANDANKLE.COM.
PRACTICE FOR SALE – VIRGINIA
Well established podiatry practice seeks motivated, independent individual who is interested in owning his or her own office. Excellent opportunity to explore the benefits of self-employment, enjoying your profession, and living in a beautiful central Virginia setting. drmike463@hotmail.com
FOR SALE: COMPLETELY EQUIPPED PODIATRIC PRACTICE - PHILADELPHIA SUBURB
This solo podiatry practice is located in a Philadelphia suburb near the Pennsylvania turnpike. Very long established. Over 35 years (historical reference: 3 previous podiatrists in the same practice) excellent referral base and volume. Additional amenities: computerized records, orthotic lab, digital x-ray, surgical suite, free parking, and more. For more information and virtual tour, email hershpodiatry@gmail.com
EQUIPMENT FOR SALE – LUNULA LASER
PM NEWS CLASSIFIED ADS REACH OVER 22,000 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 22,000 subscribers. For details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details.
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| CLASSIFIED ADS - ASSOCIATE POSITIONS AND FELLOWSHIPS |
FULL-TIME or PART-TIME PODIATRIST - DALLAS/FORT WORTH AREA
PSR 24-36 Trained Multi-dimensional, Multi-office group treating a wide range of patients to include: forefoot, rearfoot, diabetic wound care, sports medicine and work-related injuries. A great opportunity for driven personable individuals. Please e-mail Cover letter, CV, short introduction video Email: cnunez1940@gmail.com
ASSOCIATE POSITION – WESTERN NORTH CAROLINA
Join a well-established, busy and growing podiatric practice. We are fully integrated with the medical community in a large tertiary teaching hospital. Research opportunities are available. Applicant should be ethical, personable, hardworking, and committed to quality patient care. We are offering a competitive salary with bonus opportunities and a wide range of benefits. Associate position can lead to partnership. All interested candidates should send a resume to JCMOOREDPM@aol.com
POSITIONS AVAILABLE - HOLLYWOOD, FL AND BUFFALO, NY
Looking for reliable and ethical podiatrists to service Nursing Homes and Skilled Nursing Facilities in and around Hollywood, FL and Buffalo, NY. Send inquiries and CV to: phasetwopodiatry@gmail.com
ASSOCIATE POSITIONS – WESTERN PA, SOUTHERN NJ, AND CENTRAL NJ
We have clients in Western PA, Southern NJ and Central NJ looking for associates who want to be a part of growing practices. Competitive compensation and benefits. Partnership options. Send your C.V. to yourpracticenow@gmail.com
ASSOCIATE POSITION – CLEARWATER, FL
Busy established practice in Clearwater, FL looking for a Board Certified/ Qualified Full-time associate. Must be friendly, self-motivated and energetic. Office includes conservative and surgical care. Salary with production-based bonus and benefits package included. Please send CV to DPMAnkleFoot@gmail.com
ASSOCIATE POSITION – SOUTH CAROLINA
Busy two office practice in Upstate SC seeking a full time Podiatry Associate. Senior doctor looking to slow down. Partnership potential. General Podiatry and Surgery. Benefits include 401K, malpractice, health and dental insurance, CME, short and long term disability. PTO. Please send CV to podiatryresumes@upstatefootdocs.com
PODIATRIST WANTED IN NEW JERSEY
Immediate opening for a podiatrist in New Jersey to service nursing homes and assisted living facilities. Full-time and part-time positions available. Days/Hours flexible. Excellent compensation. Excellent staff is always available to help make you successful and your job easier! E-mail CV to ghcp@globalhealthcarepartner.com.
PARTNERSHIP OPPORTUNITY- CHICAGO
Senior partner retiring. Three location group seeking to expand with qualified, experienced podiatrists or small group. All office space/buildings are doctor owned and fully equipped. EPATs, ultrasounds, lasers, Padnet, in-house physical therapy, DME, ortho supplies & equipment, surgery center, digital x-rays, Athena EMR. Lower costs and increase income! To lead to real estate ownership. Equitable merge terms with your practice or finances. Meet us at the Midwest. Email resume to chicagopodpractice@gmail.com
ASSOCIATE POSITION - CHARLESTON, SOUTH CAROLINA
Very busy practice looking for well rounded, ethical Associate with a good bedside manner. Starting salary $150,000 with bonus with benefits. Possible future partnership. Forefoot surgical skills a plus but not required. Please sent CV to charlestonpodiatry@yahoo.com
ASSOCIATE POSITION - UPSTATE SOUTH CAROLINA
Well established practice near lake and mountains seeks minimum PSR-36 trained DPM. Must be able to perform rearfoot and ankle surgery and diabetic limb salvage with inpatient care. Senior physician transitioning to part time work. Early partnership opportunity. All applicants welcome. Please send resume with cover letter to schudson87@gmail.com
ASSOCIATE POSITION - ST. LOUIS, MO
Rapidly growing podiatry practice is seeking a personable, outgoing and self-motivated individual, who is competent in office-based practices, surgery, and enjoys all aspects of podiatry. Position available immediately and/or July 2022. $120k base salary with bonus and incentives. Please send CV and letter of interest to podiatrystlouis@gmail.com
ASSOCIATE POSITIONS – VA, MD, CT, DE, PA, OH, MO, NJ, NY, TN, FL
PediRite provides care to nursing home residents. Excellent opportunities working in our contracted facilities. Flexible scheduling, very lucrative commissions! Great match if you have open days/hours in your schedule. Resume to sara@sightrite.com (sign-on bonus for VA, CT, DE and PA for immediate start)
ASSOCIATE POSITION - WESTERN, PA
Seeking a board qualified/certified podiatric physician /surgeon for an associate position available at a growing office in New Castle/Hermitage areas of Western Pennsylvania- approximately one hour from Cleveland, OH and Pittsburgh, PA. Position would include wound center, inpatient consults, forefoot/rearfoot surgery, and clinic. Competitive salary with benefits available. Please contact WesternPApod@gmail.com
PODIATRIC SURGEON – SOUTH CAROLINA
Physicians Footcare, SC largest provider of podiatric services, is seeking a highly skilled and personable physician to join our TEAM. If you are ready to live, work, and play comfortably; send letter of interest and CV to: careers@physiciansfootcare.com
ASSOCIATE POSITIONS - WASHINGTON STATE
Podiatry practice is looking to fill two positions. To service nursing homes and office / surgical positions in Washington State. Full-time, Part-time, Contractors positions are available. We offer competitive pay and an attractive benefits package. For more information, please send CV to: employmentdpm101@gmail.com
ASSOCIATE POSITION - HAGERSTOWN AND FREDERICK MARYLAND
Offices located in Frederick and Hagerstown Maryland, as well as Gettysburg, PA. Motivated seller/owner of 27 years is ready to sell Hagerstown and Gettysburg practices after associate position. Would consider selling outright from the start. Will be available for advising, teaching, and practice management as long as needed. Will likely sell Frederick office in 5 years as well and I will become a part time employee. Highly producing, full scope podiatry office. Frederick Surgical Center shares and real-estate ownership potential available. drhenrock@yahoo.com
ASSOCIATE POSITION – NEW YORK
Seeking a highly motivated individual interested in evolving in private practice to a wealthy and knowledgeable affiliate entity with a large surgical-based podiatry group. Surgeons with a two or three-year residency preferred. Come join and Let’s keep New Yorkers on their feet! Please email your CV to podiatrynewyork@gmail.com
ASSOCIATE POSITION - MULTI-SPECIALTY WOUND CARE GROUP - LOS ANGELES, CA
Attention graduating residents!!! Multi-specialty wound care practice looking to add two more podiatrists to our group starting July 2022. Will work alongside our plastic surgery team in both inpatient and outpatient settings. Full salary and health insurance, with further growth opportunities within the group. Send CV to: woundcaredocs@gmail.com
ASSOCIATE POSITION AVAILABLE IMMEDIATELY – MANHATTAN
We are looking for a board qualified/certified full-time associate to join a well-established Upper East Side practice. We offer custom services to our Manhattan's elite clientele. You must be a self-motivated individual with excellent communication, problem-solving and interpersonal skills. Someone who is confident in performing surgical procedures and who understands insurance and coding. Six-figure salary plus sign-on bonus and additional benefits based on level of experience. Potential for partnership and buy-in. forangela@gmail.com
ASSOCIATE POSITION- HARRISBURG, PA
Multi-office practice seeking ABFAS board qualified/certified DPM. FT position covering all aspects of podiatry/podiatric surgery. Salary with production-based bonus and benefits package included. Please send CV to keystonepodiatricmedicalassoc@gmail.com.
ASSOCIATE POSITION - LOS ANGELES, CA
Growing multi-doctor and multi-location podiatry practice within a large academic healthcare system in Los Angeles in need of a motivated, ethical, and personable well trained associate. Very competitive salary and benefits. Practice encompasses all areas of podiatric medicine and surgery. Email CV/cover letter/surgical logs to rklee@mednet.ucla.edu
ASSOCIATE POSITION - NEW JERSEY
Well established practice with foundation in Monmouth and Ocean counties is looking for a motivated full time or part time associate. Our practice consists of 2 offices and management of several long term nursing facilities. General podiatry, wound care, sports medicine, and pediatrics with a minor emphasis on surgery. A competitive compensation package along with a great work balance makes this a unique opportunity for the right candidate. Email CV to podiatrynj1212@gmail.com
PODIATRIST - CHICAGO
Leading group in the area looking for motivated physician to do housecalls and cover office, providing full scope of treatment. Full- or part-time; Illinois license needed. Annual income up to $350K. Submit resume to vadim.goshko@gmail.com
ASSOCIATE POSITION – DAYTON, OHIO
Well established, fully equipped single office private practice looking for full time associate. Candidate should be highly motivated with strong surgical and clinical skills. Competitive salary, bonus structure, paid malpractice and benefit package. Potential for buy-in available if interested. Please email CV to schapman1@woh.rr.com
ASSOCIATE POSITION AVAILABLE - NORTHERN VA
Growing podiatry practice is seeking a high energy associate interested in providing care to multi senior living facilities as well as working into a partnership to own the practice in 2 to 4 years. The office is located in Annandale, Virginia. Great opportunity to add a surgical aspect to the practice as surgery is currently referred out. Compensation is personal productivity commission based. Please respond to: DrBreiner@AOL.com
PM NEWS CLASSIFIED ADS REACH OVER 22,000 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 22,000 subscribers. For details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details.
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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.
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