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| PM News | |
The Voice of Podiatrists
Serving Over 22,166 Subscribers Daily
March 30, 2022 #7,173  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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| AT THE COLLEGES | |
OH Podiatrist to Keynote at NYCPM Commencement
At the live, in-person 2022 Commencement ceremony to be held on May 26 at Alice Tully Hall, the keynote address will be delivered by U.S. Representative Brad Wenstrup, DPM, who will receive the degree of Doctor of Science, Honoris Causa. Elected in 2012, in Congress Dr. Wenstrup serves on the House Committee on Ways and Means and the House Permanent Select Committee on Intelligence. He is also a co-chair of the GOP Doctors Caucus.
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Dr. Brad Wenstrup |
Two additional honorees will join Dr. Wenstrup: Maurice E. Wright, MD, Medical Director of New York City Health+Hospitals/Harlem and Barry H. Block, DPM, JD, Publisher of PM News. Both honorees will receive the degree of Doctor of Humane Letters, Honoris Causa.
Source: Footprints [February-March 2022]
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| PODIATRISTS IN THE COMMUNITY | |
NJ Podiatrist Joins Bergen Medical Sports & Spine
Elham Nasab, DPM recently joined Bergen Medical Sports & Spine in Paramus, NJ. Dr. Nasab earned her podiatric medical degree at the New York College of Podiatric Medicine.
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Dr. Elham Nasab |
Dr. Nasab completed her podiatric residency at the Wyckoff Heights Medical Center in Brooklyn, NY.
Source: Linkedin
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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?
2) Don't try to time the market
It is difficult to know where cryptocurrency prices will move in the short term. The trick is to not worry about the short term market at all. Focus on the long term and invest your money when you can. Don't waste time guessing where prices will go next and instead focus on investing over long time horizons.
Source: Jesse Proudman, Medical Economics
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| RESPONSES/COMMENTS (OBITUARIES) | |
RE: The Passing of Donald ‘Don’ R. Alkema, DPM
Dr. Donald ‘Don’ R. Alkema, 78 of Spring Hill, Tennessee passed away on March 18th, 2022 surrounded by his loving family. He was a graduate of the Ohio College of Podiatric Medicine.
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Dr. Donald Alkema |
For over 44 years, Don had his own podiatry practice in the areas of both West Palm Beach, Florida, and Simpsonville, SC. He loved what he did and when he finally retired in 2014, he moved to Spring Hill, TN to be closer to family.
Source: williamsonsource.com
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| CODINGLINE CORNER |
Query: Documentation for E/M
Let’s say a patient came in with acute plantar fasciitis and low risk treatment options were performed. Is it needed or advised to include sentences like these in the plan while documenting?
“The patient had an acute, uncomplicated illness or injury addressed today.”
“There is low risk involved with this pathology, testing, and its treatment considerations.”
PM News Subscriber
Response: Documenting an E/M that is low risk in your example of acute plantar fasciitis is as follows. My plan that I would say: “Medical management: The etiology of the problem today is an acute plantar fasciitis, this is considered an acute injury. The plan of care involves a low risk of morbidity as the patient treatment recommended includes: stretching (which was demonstrated), ice or heat, elevation, and rest.”
To me, this fits your low risk CPT 99203/99213 patient scenario.
David J. Freedman, DPM, CPC, Silver Spring, MD
For information on Codingline subscriptions, click here
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| RESPONSES/COMMENTS (CLINICAL) - PART 1 | |
From: Allen Jacobs, DPM
Osteomyelitis of the forefoot may be treated with antibiotics alone. This has been studied and published. Needless to say, some limited surgical bone reception or at a minimum confirmation of the pathologic bacteria is generally necessary. Nevertheless, to suggest an amputation is the “standard of care” implies that a failure to amputate a toe osteomyelitis is malpractice. I would caution members of our profession who throw out the term “standard of care“ in a cavalier manner. This is a legal term that can have very significant consequences.
I do not believe Dr. Chaskin is in position to determine the standard of care. This weekend, I participated in a seminar in which another podiatric physician stated that the standard of care in treating ulceration was utilization of acellular matrix grafting. I had participated in another seminar in which a different speaker suggested that the failure to utilize an orthobiologic in performing osteotomy or arthrodesis procedures was “malpractice”.
In short, be aware of the potential consequences of using the term “standard of care”. Remember, corporations do not set the standard of care. People who lecture or consult for various companies manufacturing products that might be used in treatment of patients do not determine the standard of care. Unfortunately, this is one of the consequences of corporate-dominated and corporate-influenced post-graduate education which dominates podiatry CME.
Allen Jacobs, DPM, St. Louis, MO
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| RESPONSES/COMMENTS (CLINICAL) - PART 2 | |
From: Ivar E. Roth, DPM, MPH
I would like to recommend two options when local anesthesia fails due to an infection. First, I think we should never cause intentional pain to our patients. All you need to do if a toe block fails is do a PT block and a deep peroneal block. Second, I use nitrous oxide with anxious patients or those that have a low pain threshold; it knocks down the anxiety and pain by at least 80%.
Ivar E. Roth, DPM, MPH, Newport Beach, CA
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1 | |
RE: Indicators for Durability of Bunion Corrections
From: Greg Caringi, DPM
Current SOTA bunion surgery aims for triplanar correction of the 1st metatarsal segment. The missing link for many years was lack of frontal plane correction because there were few procedures (old school DRATO; new school CoLink Vallux) that allowed a surgeon to address this obvious compensatory deformity with a distal osteotomy. The modern Lapidus procedure gets the job done but I often question the use of this somewhat complex procedure in mild-moderate deformities.
When I trained residents years ago, I always taught that reduction of the sesamoid position was the key indicator for surgical durability. I still believe this to be true even with uni- or bi-planar corrections (as in the many variations of the Austin procedure). I did not know about the "round sign" back then. Although Lapidus loyalists argue that this can't be true, I am here 40 years later to tell you that I have seen happy patients 10, 20, and 30 years following their Austin bunionectomies (with no frontal plane correction) with no recurrences.
I am in favor of advancing our surgical procedures. I am asking what today's foot surgeons are using as their primary indicators for durability of bunionectomies - IM angle reduction, sesamoid position, the round sign? And, how do you explain excellent durability without addressing the frontal plane?
Greg Caringi, DPM, Lansdale, PA
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 2 | |
From: Lance Malusky, DPM, David. Zuckerman, DPM
I don't even recollect where we got the idea, but for 44 years, we used a 1% phenol solution quite effectively to softens nails and calluses. You can't buy it like that, but it is easy to calculate a 1% solution of "88%" phenol (0.88% actual solution). Just carefully add 1 cc of phenol to 99 cc of distilled water, place some in a squirter bottle, and apply liberally with 4x4" gauze pads draped on the corns and nails. No one complained of any burning or ill effects from that weak of a solution, even though it has a mild numbing effect to the periungual areas. The keratotic softening effect is evidenced by a thin whitish haze where it’s applied.
Lance Malusky, DPM, Dayton, OH
There is a new product in the USA for exactly the indications that Dr. Jack Ressler is asking about. It comes from Germany. I introduced/imported it to the USA for podiatrists. It’s called Liquid Gold.
David. Zuckerman, DPM, Cherry Hill, NJ
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| RESPONSES/COMMENTS (PM NEWS QUICK POLLS) | |
From: Pedro M. Abrantes, DPM
I agree with Dr. Kravitz, as I did not attribute fault solely on manufacturers; they are only part of the issue. Doctors are in the end responsible for their billing practices. As mentioned, these injections are not approved by the FDA nor by Medicare and insurance carriers currently as they are under trials as investigational new drugs (INDs). If Medicare states this, then most other carriers will follow. It's best to call or email Medicare directly as they will confirm my original message as per Dr. Peter Marks. My message is to help my fellow DPM colleagues. Please do your due diligence.
Pedro M. Abrantes, DPM, Miami, FL
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous NFTs of the Day
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What to buy with your crytocurrency? |
Source: NFToes
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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 - ASSOCIATE POSITIONS AND FELLOWSHIPS |
ASSOCIATE POSITION - ALBUQUERQUE, NM
Foot & Ankle Specialists of New Mexico has an immediate and exciting opportunity for a full-time, board qualified or board-certified foot and ankle surgeon. Surgical opportunities and privileges available at all major hospitals, as well as mandatory office and hospital call rotations that require experience in foot and ankle trauma. Competitive salary, ranging from $150,000.00 to $175,000.00, depending on experience with bonus structure. Interested candidates can email ACharlie@footanklenm.com.
PODIATRIST - CHICAGO
Leading group in the area looking for motivated, independently thinking associate to do housecalls and work at the office, providing full scope of treatment. Illinois license needed. Indiana license a plus. Salary plus bonus or independent contract agreement. Annual income up to $350K. Submit resume to vadim.goshko@gmail.com
ASSOCIATE POSITION - ALBUQUERQUE, NM
Family Foot Health Specialists has an immediate opening for a full-time board-certified or board-qualified foot and ankle surgeon in sunny Albuquerque, NM. Pay structure consists of salary and bonus, as well as other benefits. Please email your CV if interested to familyfootww@nmpods.com
ASSOCIATE POSITION - VANCOUVER, CANADA
Busy, well-established practice in beautiful Vancouver. Looking for motivated podiatrist with excellent people skills. CASH PAY practice. Lots of new patients monthly and huge growth potential. Practice allows great work-life balance. NO CALLS. Come live in one of the best cities in the world. Non-Canadian, new graduate, experienced DPM applicants welcome. Email CV to efaspodiatry@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
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
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 - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
PRACTICE FOR SALE - HUDSON VALLEY, NY
Well established 2- practitioner practice for sale. Perfect for recent grad. Turn-key with all phases of podiatry - surgery, orthotics, routine care, and wound care. Affiliation with 2 wound care centers possible. Digital x-ray and new modern ultrasound. Please email with contact info - PodassociateNY@gmail.com
PRACTICE FOR SALE - NORTHWEST ARKANSAS
Turn-key practice in Northwest Arkansas, strong referral base, good payer mix, fast growing area. Priced low for quick sale; selling or closing over this quarter. Includes digital X-Ray, chairs, remaining DME, other equipment. Leased space, nice build out. NWAfootdoc@gmail.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 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.
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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| 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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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
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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
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