The Voice of Podiatrists

Serving Over 14,000 Podiatrists Daily

April 05, 2013 #4,734 Publisher-Barry Block, DPM, JD

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Examine Your Feet Daily: IN Podiatrist

Most people believe "out of sight, out of mind" when it comes to their feet. But a local doctor says it's important to pay attention to an important part of our body that keeps us mobile. "Because our feet are tucked away in boots and shoes, we actually need to be more thorough about taking care of them," says Michael Nirenberg, a doctor of podiatric medicine in Crown Point.

(L-R) Drs. Michael Nirenberg and Michael Lacey (Photo: John Luke)

"Examine your feet daily. If you cannot see the bottom of your feet, use a mirror or have your spouse check them," he says. "Checking your feet daily is especially important for those people who are diabetic, have poor circulation or are elderly, as these people are at higher risk for foot infections."

Source:  Christine Bryant, NWI Times, [4/1/13]

PM News has begun a new weekly feature called Quick Poll. Each week, we will post a new poll based on some of the controversial issues discussed in our Comments/Responses section. Straw polls are not scientific and do not represent standards of care.

Quick Poll
How satisfied are you with your career in podiatry?
Click HERE for Results

Barry Students Care for Needy at Annual Outreach

With the help of more than 400 volunteers, the Miami Rescue Mission/Broward Outreach Centers recently served more than 2,000 meals to the homeless and hungry of South Florida at their three campuses in Miami, Hollywood, and Pompano Beach. In addition to the meal, homeless and needy men, women and children in attendance were able to have their feet washed by volunteers and cared for by students from Barry University’s podiatry program.

Barry students wash the feet of homeless at previous Outlook event.

“I haven’t had someone be concerned with my well-being for months, much less care for me like this,” said Mary Thomas while receiving foot care from a volunteer. “I didn’t think something this simple could make me cry, but it is just such a beautiful thing they’ve done here.”

Source: South Florida Times [4/4/13]

Bako Inaugurates Nation's First-Ever Turn-Key Pathology-Therapeutic Solution

Dr. Bradley Bakotic, dermatopathologist and principal partner of Bako Pathology Services (BPS), has introduced an entirely unique model in the delivery of podiatric medical services. BPS has brought Clinical Therapeutic Solutions (CTS) under the Bako umbrella, and by doing so, will not only offer pathology reports with embedded therapeutic recommendations, but will now provide (when medically appropriate) correlating office-dispensed products.

Dr. Bradley Bakotic

To reflect this dramatic change in their offerings, Bako Pathology Services will now be known as Bako Integrated Physician Solutions.  Bakotic stated, “We’ve built this entirely novel model upon our unique style of pathology reporting for added clinician convenience and the betterment of patient care. This model offers increased patient and clinician convenience, while increasing patient compliance and yielding better clinical outcomes. The Bako Integrated Solution provides such benefits, while decreasing the out-of-pocket expense to the patient. We believe that this integrated model will change the way podiatric medicine is practiced!”

TRAKnet Hires Its Original Computer Architech

TRAKnet (Nemo Technology Solutions, LLC) has announced the addition of Dr. Scott Leum to the TRAKnet team. Leum is the original architect of TRAKnet and has had a long history of programming for podiatric medical software, including Podnotes, Medinotes, and TRAKnet.

(L-R) Scott Leum and Dr. Jeff Frederick

"Scott is one of the most innovative, outside-the-box thinkers when it comes to medical software. He brings to the company a vast knowledge of software innovation and experience. End-users will be amazed at what is in development and will be a reality shortly," said Dr. Jeff Frederick, TRAKret's CEO.

Ornstein-Guiliana-Bakotic Podiatry Trust Formed

A trust was recently established by Hal Ornstein, DPM and John Guiliana, DPM, MS with the primary purpose of supporting practice management initiatives for podiatry students and residents as well as other areas within the profession. This evolved out of an investment with a podiatry company that was recently sold, and the execution of a promise from both doctors that their efforts on behalf of the trust would be 100% voluntary and with no personal financial gain.

(L-R) Drs. Hal Ornstein, John Guiliana, and Brad Bakotic

The first use of this trust will be to offer CDs to the library of each podiatry school to help with student self-development, and provide a strong foundation to be the best practitioner possible.  When Dr. Brad Bakotic heard of the trust, he offered to be a partner in the endeavor and match the amount in the trust, contributing $21,000. Additionally, he will provide significant financial support to the trust in the future. 

Query: Dense Macules/Nevi
 
A 79 year old Caucasian male presented with a chief complaint  of several hundred B/L pigmented spots from his knees distally to his toes which started showing up one year ago. He has no pain or pruritus, but is embarrassed about the appearance. He saw a dermatologist who biopsied one of the lesions, but no conclusive diagnosis was obtained. PMH: asthma, GERD, DJD, HTN, hyperlipidemia, basal cell carcinoma x2 removed from scalp. Meds: atenolol, Vytorin, minocycline. FH: one son deceased of melanoma age 53.

Dense Macules/Nevi

An exam reveals hundreds of circular brownish black macules and patches which are very dense on the shins and medial malleoli which are non-raised but some have scaling. Any diagnosis/treatment ideas would be appreciated.
 
Judd Davis, DPM, Colorado Springs, CO

RE: Recalcitrant Heel Pain (Loren J Miller, DPM)
From: Andrew Levy, DPM, Corey Fox, DPM 

What does the MRI show about the inferior calcaneal bursa? 

Andrew Levy, DPM, Jupiter, FL, rcpilot48@gmail.com

I applaud Dr. Miller's approach to the stubborn heel pain patient. At this point, I recommend an ankle MRI to rule out a partial rupture of the plantar fascia near the insertion, most likely involving the central band. If so, then it's 4-5 weeks of immobilization in a cast, WB or NWB, depending on severity. Use a cast as opposed to Cam-Walker, because" removable cast" means the patient will do exactly that - remove it. This is a good treatment, even for fasciitis with no rupture. Then, for fasciitis or fascia rupture, try TOPAZ (Arthrocare) coblation. It's an 8 minute percutaneous procedure with excellent outcomes and minimal complications.
 
Corey Fox, DPM, Massapequa, NY, fox.corey@gmail.com

RE: Recalcitrant Heel Pain (Loren J Miller, DPM)
From: Gino Scartozzi, DPM

The patient appears to have recalcitrant heel pain despite the numerous conservative and surgical treatments employed. In light of the posting of treatments thus far offered, I suggest two follow up approaches in conjunction with post-operative orthotic therapy which I assume is continuing.
 
First, a full arthritic profile should be performed to see if there is a systemic arthritic condition that is contributory to his heel pain. The profile should consist of a sedimentation rate, HLA-B27, uric acid, rheumatoid factor and ANA. If these factors test positive, appropriate referral to a rheumatologist may be required.
 
Second, does the patient exhibit lower back symptomatology. Lower spinal segment impingements can also contribute to recalcitrant heel pain. Physical therapy and/or chiropractic care is essential after MRI assessment of such pathology.
 
Gino Scartozzi, DPM, New Hyde Park, NY, Gsdpm@aol.com

RE: Nitroglycerin Paste vs. Topical Procardia (Wm. Barry Turner, BSN, DPM)
From: Simon Young, DPM

I heard about this treatment when I was in podiatry school (1978). Is this another anecdotal treatment? Are ABIs/PVRs being done pre-treatment? If it is an ischemic wound and blood is restricted to the foot, how is vasodilating the capillaries helping with blood flow? What about PT blocks? Shouldn't they be more beneficial. Will these topicals work if blood flow is restricted to the ankle? Is there any system absorption of the nitroglycerine paste which could impact the cardiovascular system?

Simon Young, DPM, NY, NY, simonyoung@juno.com

RE: The Passing of Mike Krajick, DPM

It made me very sad to hear of the sudden passing of Mike Krajick. He was a classmate and a friend and I am sure he will be missed by all. I send his family my most sincere condolences and wish them the strength to make it through this most difficult time.

Chuck Langman, DPM, King of Prussia, PA

RE: 104 Applicants Not Matched for Residency Positions
From: Brent Nixon, DPM, MBA

The outside of the box answer is right in front of us. There is a shortage of doctors! This shortage is forecasted to grow. This is a great opportunity for podiatry schools to help the nation! Just offer a joint degree option, DPM/DO or DPM/MD! Beef up the academic course of study to qualify the graduates to go down either path, or both paths, as they choose This program will eliminate the need for marginal podiatric residencies and strengthen the remainder. How is that for PARITY!! Remember, there are only people who manage to get things done and those who don't!

Brent Nixon, DPM, MBA, Tucson, AZ, bcopter@yahoo.com

RE: 104 Applicants Not Matched for Residency Positions
From: Barry Finkelstein, DPM

I would like to add my thoughts to lend encouragement to the students who did not match for residency positions.

I found myself in a similar situation in 1997 when my residency ended abruptly after one year without proceeding to the surgical year(s). I ended up joining the work force and then returning to a 3-year surgical residency several years later. It was the best professional move I have made. To be sure, the financial strain was enormous; however, ...

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

PRECEPTOR POSITIONS - PHILADELPHIA

(3) Preceptor Positions available in Philadelphia and possibly (1) or (2) more in NY/NJ. Practice is diverse with a strong offering in podiatric rehabilitation, sports medicine and pain management. Two preceptors successfully completed this past year and gained tremendous hands-on experience. Please send resume to: ediamond7@comcast.net. To learn  more: www.philadelphiapodiatrist.com. 

PRECEPTOR POSITION – TAMPA BAY AREA

Multi-location practice offering paid preceptorship. You will learn great patient care techniques along with nuisances that go into running a successful practice. We had a positive experience with a preceptor this past year and want to repeat this. If interested please send CV to office@fitfeetflorida.com

EQUIPMENT FOR SALE - BIOMEDIX PADNET SYSTEM
 
PADnet is clinically valuable, provides fair financial return with medically appropriate testing and seamlessly integrates with the complete suite of BioMedix® products and services. One year old. In Excellent condition. Buyer pays for shipping. Please contact Rhonda Daggs at info@footanklecenters.com

EQUIPMENT FOR SALE - COMPLETE AMFIT ORTHOTIC FABRICATION SYSTEM

Complete Amfit Orthotic Fabrication System with Footfax SL Contact digitizer. System includes milling machine, PCs, all cords, parts, medical software, hardware and $2100 worth of insole blanks. System cost $45K New, Asking $10K. For more information visit amfit4sale.wordpress.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.

PODIATRIST SEEKING EMPLOYMENT - CHICAGOLAND AREA

Personable, well trained ABPS Board Certified podiatrist with 10 years experience seeking associate position or buy-in opportunity in the Chicagoland area.  Please email inquiries to ewcv5@hotmail.com.

PRACTICE FOR SALE - SIOUX CITY, IA, TRI-STATE

Solo practice, established over 40 years. High volume, general care with surgical and orthopedic mix. Surgical privileges at 2 major hospitals. Deferred financing available. Contact: Medical Office, PO Box 4516, Sioux City, IA 51104.

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

POSITION AVAILABLE - CENTRAL FLORIDA

Two doctor practice looking for an associate to take retiring doctor's position with partnership opportunity for the right person.  Competitive salary, health insurance and incentives. Two offices serving a diverse number of routine, surgical and wound care patients. Two years surgical residency training and FL license required. If interested in this great opportunity please e-mail CV, surgical log and references to toesrus7@yahoo.com.

ASSOCIATE POSITION – NORTHERN CALIFORNIA/SF BAY AREA
 
We’re expanding, seeking podiatrist to join multi-office practice. Must have great people skills, bedside manner, and positive demeanor. California license required. No nursing home visits. Prefer private practice experience. Send CV and cover letter to: ebpod2008@gmail.com

ASSOCIATE POSITION - HAMPTON ROADS VIRGINIA

Needs to be highly motivated, INDEPENDENT and surgically-trained to join a successful 40+ year practice surrounded with water sports, beaches and hiking. PSR24/36 ; well versed in forefoot and rearfoot surgery, diabetic wound care, sports medicine and diagnostic ultrasound. Please email CV & cover letter to feetloveus@gmail.com

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 POSITION - GEORGIA

Associate needed for a busy podiatry office in Georgia. Candidate must be self motivated and surgically trained (PMS24/36). Must be versed in forefoot surgeries. At least one year post residency experience is required. Please send CV to myromeclinic@yahoo.com

ASSOCIATE POSITION - UPSTATE NY

Busy multi-specialty practice of PCPs, general surgeons, OB-GYN, podiatric surgeons looking for a full-time podiatric associate in  Upstate NY, Binghamton, Finger Lake Region. Great Benefits, opportunity for partnership. Must be highly motivated, personable and be Board qualified/eligible. Our podiatrists have over 100 years combined experience. Please send CV to associateinfoot@yahoo.com or fax 607-723-1567.

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 - MARYLAND, DC, PA

A podiatrist is needed for the Baltimore, Washington, Pennsylvania area. Partner for the corporation. Surgery center, emergency room call and a hospital location. All areas of podiatry. Established practice. Salary and commission. Fax resume 410-857-4227 or email at butler@qis.net

ASSOCIATE POSITION - SOUTHWEST FL

R U a PM&S36 or PSR24 graduate looking for a bright future in podiatry BUT cannot be afraid to work hard to achieve. Nail care to reconstructive ankle/leg trauma. Attitude & God complexes need not apply. Frames / IM nails, must be comfortable applying. Work hard for exciting future. Superstars only. Send info mny1029@gmail.com

ASSOCIATE POSITION – TAMPA BAY AREA

Multi-location practice seeking individual with balanced medical and surgical training. Practice is well established with growing new patient visits. Offering competitive salary and benefits along with bonuses commensurate with performance. EMR already in place with well-trained assistants. Please Send cover letter and CV to office@fitfeetflorida.com

ASSOCIATE POSITION - SOUTHERN CALIFORNIA COAST

Wanting full-time podiatrist (PSR-24 or greater) in 30+ year established practice situated in coastal community just south of Los Angeles.  Building out a new office near hospital. Compensation is performance based with practically an unlimited earning capability. A possible buy-in is negotiable. Looking for someone to take over practice in the future.  Excellent opportunity for young ambitious doctor.  Send resume to asbf@pacbell.net, titled, "Podiatrist".

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."

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

PM 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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