The Voice of Podiatrists

Serving Over 13,500 Podiatrists Daily

April 06, 2012 #4,429 Publisher-Barry Block, DPM, JD

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Proper Footwear and TLC Can Prevent Most Foot Problems: NY Podiatrist  

Your feet are two tough tootsies. They spend their days shoved into stilettos, pounding pavements, and supporting your weight while you bounce around on the treadmill or take a Zumba class. It's no wonder that one out of six people in this country complain of foot problems. But no need to stay seated in sneakers all day. 

Dr. Hillary Brenner

"If you just tweak your footwear and give your feet some TLC, you should be able to stave off most problems," says Hillary Brenner, DPM, a New York City podiatrist and spokeswoman for the American Podiatric Medical Association.

Source: Hallie Levine Sklar, Yahoo Shine [4/3/12]

NY Podiatrist Warns of Risks of Barefoot and Minimalist Running

The debate about running shoes has been particularly heated, focusing on the merits of running barefoot or in “minimalist” shoes that mimic running barefoot. “For thirty years, there has been very little structural change in running shoes,” says Dr. Alan Berman, a podiatrist with Somers Orthopaedic Surgery & Sports Medicine Group. “Now runners and shoe manufacturers are jumping on the barefoot bandwagon with dramatically different designs that have serious implications for runners' form, and the potential for injury.”

Dr. Alan Berman

“The bottom line,” Dr. Berman concludes, “is that the body clings to what it knows. Changing shoes doesn't mean you will automatically run in proper barefoot form. Many new barefoot runners continue to stride as they always have, landing heavily on their heels but without the cushioning of their usual shoes, which increases their risk of injury. Further, we are all different in our biomechanics, our daily activity, and our level of training or running experience. So a ‘one-size-fits-all’ approach is not appropriate and minimalist shoes certainly isn't right for everybody.”

Source: Health News Digest [4/3/12]

AR Podiatrist Tells Youths "You Can Achieve Anything"

Magnolia podiatrist Dr. Carlotta Wells-Thomas told about 100 youths they can achieve anything in life if they are determined to do so. "I stumbled upon college by my association with other kids who were on that track. However, my desire to be like them or better kept me focused and interested," said Thomas.

Dr. Carlotta Wells-Thomas

Wells-Thomas was the guest speaker at Saturday's 10th Annual "kommunity" youth rally hosted by the Camden-Magnolia Alumni Chapter of Kappa Alpha Psi Fraternity.

Source: Chris Gilliam, Banner-News [4/2/12]

IA Podiatrist Invents Portable High Jump Pit

Dr. David Groen’s high jumpers lacked the proper equipment to practice on, so he designed a solution that became a business venture and gained national attention.

Dr. David Groen (Photo: Bill Neibergall)

Groen, a podiatrist with The Iowa Clinic, is a former Iowa State University runner and the track coach at Iowa Christian Academy. That background helped him design Inflate and Go, a portable high jump pit.

Source: Estela Villanueva-Whitman, Des Moines Register [4/3/12]

Draw Out Team Members’ Strengths

To bring out the best in your team members, start by identifying their strengths. Ask these questions to discover their potential:

•  “What do you enjoy doing most?”
•  “How would you describe all the ways you add value to the team?”
•  “What type of work energizes you?”
•  “Which areas of your job are most difficult for you?”
•  “What skills do you need to develop to improve your performance?”

With the answers, you will be better able to make assignments, plan training, and lead your team members.

Source: Adapted from Conversations for Creating Star Performers, Shawn Kent Hayashi, McGraw-Hill via Communication Briefings

Query: S/P Fracture Left Ankle

A 52 year old female presented after being treated on 3/24/12 at a local hospital for a fractured left ankle (distal fibula shaft). The patient has been using crutches and complains of pain w/attempted weight-bearing. Past medical history includes depression, seizures, HTN. Social history: 4 cigarettes/day for 30 years, drinks alcohol 1-2 per day. Clinically, vascular status within normal limits w/forefoot swelling for a splint noted. 

S/P Left Ankle Fracture

X-rays show a mildly displaced (about 2mm) fracture of the distal fibula shaft. I know what the literature says about the 2mm rule, but I'm not 100% comfortable taking this patient to surgery based on her social history. Currently, she's in a BK cast and will be using a knee roller for ambulation for 6-8 weeks. Perspectives are sought for this matter.

Philip Graham, DPM, NY, NY

Query: E-Prescribing Program
 
I initiated EHR and E-Rx on June 1, 2011. Although 12 E-Rxs (10 are required) were sent in June, only 8 were Medicare patients. I received notice last month, without explanation, that my Medicare payments for 2012 are reduced by 1%. Do I have a legitimate challenge to this reduction of payment? I have received no explanation from Medicare to date.
 
William B. Crawford, DPM, Ocala, FL

Query: Digital X-Ray Sizing

I have a digital x-ray system. How does one know if one has an accurate 1:1 sized image? The tech dept of the system I purchased was unable to answer this simple question. I was planning a surgery and wanted to use the x-ray as my template. I realized I have the capability of zooming in and out, but then wasn't sure when I actually was looking at the true-sized image.

Jeffrey Kass, Forest Hills, NY

RE: Titanium Screws and Metal Detectors (Alan Mauser, DPM)
From: Tip Sullivan, DPM

I don’t know how many screws, plates, etc. that I have implanted in 23 years. I can tell you of only two incidences that have occurred regarding metal detectors. One was following a major rear foot reconstruction using two titanium plates and several screws. The patient was a lawyer, and the detector going into the courtroom went off. I was called from the courtroom to confirm the implants. The problem was that the sensitivity of the machine was set too high.

The other case was another major reconstruction in which lots of hardware was used. They used a wand at the airport and could see the scars. There was no problem, just a hassle for the patient. There are small cards (like credit cards) which you can give to patients that they can put in their wallet/purse that gives the implant name, location, your name, and the date of application. Ask your Wright Medical rep for them. I have never had any issue with a single metatarsal osteotomy screw, but certainly I would suspect the metal detector and have it looked at for adjustment before I took someone to surgery to take out a screw.
 
Tip Sullivan, DPM, Jackson, MS, tsdefeet@MSfootcenter.net

RE: Hyperkeratotic Tinea (Name Withheld)
From: Simon Young, DPM, Alec Hochstein, DPM

This looks like an acute dermatitis. Use a class-1 steroid, e.g., Temovate in conjunction with a keratolytic agent such as urea.

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

It seems that you have thrown everything at it for tinea and hyperkeratosis that you could without significant results. It might be time to change the diagnosis or dig a bit deeper. My first impression is that this is a form of dermatitis, likely psoriasiform spongiotic dermatitis. I have had several patients with a similiar presentation and had excellent results with a combination of topical keratolytics and oral as well as topical steroid preparations. I would certainly recommend a full thickness biopsy be sent to a dermatopathology lab for diagnosis and  documentation.

Alec Hochstein, DPM, Great Neck, NY, greatneckfootdoc@me.com

RE: Voice Recognition Software and EMR/EHR (Greg Caringi, DPM)
From: Stephen Musser, DPM, John Parmelee, DPM

I use the Medical Dragon version with the Epic EHR program and really like it. I've been very satisfied.
 
Stephen Musser, DPM, Cleveland, OH, ly2drmusser@gmail.com
 
I have used both Dragon 10 Medical Professional and am currently using Dragon 11 Medical Professional. The professional version allows you to use bookmarks so you can navigate through your templates with your voice or keyboard. I have not found a significant difference between the 10 and 11 versions. Most EMRs require you to use at least version 10.  Get a good microphone since the one that comes with Dragon is not very good. I use the VXI TalkPro USB 1. Dragon works well with AllScripts and allows for full text control. Not all EMR's allow full text control with Dragon, which I find unacceptable. I just wish the billing part of AllScripts was better. 
 
John Parmelee, DPM, Seattle, WA, parm15@msn.com

RE: Pyrocarbon and Foot Surgery (Lowell Weil, Sr., DPM)
From: Vincent J. Hetherington, DPM and Jill S. Kawalec-Carroll, PhD

We agree with Dr. Lowell Weil, Sr. that pyrocarbon is the hottest thing in foot surgery about to come down the pike. We have been interested in pyrocarbon for the replacement of the 1st MPJ for several decades – Dr. Hetherington, since the late 1970s, and Dr. Kawalec-Carroll since the early 1990s. Pyrocarbon is an ideal material for foot implants because the mechanical properties are similar to that of bone. Our research has shown that pyrocarbon implants show more potential for success as a hemi-implant, compared to cobalt-chromium alloy implants. (1)

Pyrocarbon has a very smooth surface, which does not allow for adequate fixation in bone. We have been studying various methods to increase fixation of pyrocarbon implants. Our studies found that hydroxylapatite (HA)-coated pyrocarbon implants have...

Editor's note: Drs. Hetherington and Kawalec-Carroll's extended-length letter can be read here.

EQUIPMENT FOR SALE - SHOCKWAVE MACHINE

D-Actor 200 by Storz Medical. High Frequency Extracorporeal Pulse Activation Treatment (EPAT) System. A little over a year old, excellent results for plantar fasciitis and Achilles tendonitis. Must sell; practice merger. Selling for 18,000 (new machine >30K) Email: footdoc21@gmail.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 516 476-1815  PODO2345@AOL.COM

ASSOCIATE POSITION - MARYLAND

Looking for 3rd associate. Must be personable, well trained and highly motivated. Great locations in Southern Maryland, including an Ambulatory Surgical Center. We currently have EHR, digital radiography, dispensing center and PADNet. Looking for immediate hire! Please send CV to: myfeetfeet@aol.com

ASSOCIATE POSITION - KANSAS CITY, MISSOURI

Kansas City may be the perfect move for you and your family. I am looking for an entrepreneurial minded associate who wants to grow and then own part of an already successful practice. If you are the right candidate for this associate position, you will enjoy a competitive compensation package and you will be working with a doctor who is as committed to your success as he is his own. Go to www.YourFutureInPodiatry.com for full details.

ASSOCIATE - ST. LOUIS, MO

Multi-location group practice seeks motivated DPM with initiative and leadership skills to contribute to our growing group practice. Foot Healers Podiatry Group enjoys a strong reputation within St. Louis and looking for the right individual to complement our team. Must have the confidence to lead you own clinic and the willingness to draw on the expertise that exists within our group. Starting salary ($100k), plus incentive comp plan, malpractice coverage, health insurance, 401k, group bonus/profit sharing. Please send CV to jmurray@foothealers.com and visit our website www.foothealers.com

ASSOCIATE POSITIONS - MULTIPLE STATES

Podiatrist Needed in Missouri, Nebraska, Iowa, Minnesota, North Dakota, South Dakota, Texas, Colorado, Wisconsin, Indiana, and Oklahoma. Expanding multi-state medical practice seeking podiatrists to service long-term care community residing in nursing homes and assisted living facilities. We offer an established patient base, scheduling, equipment allowance and cover travel expenses. Provide generous compensation, bonus opportunities, disability, health insurance benefits, malpractice coverage and flexible scheduling. Looking for a Podiatrist with excellent skills, able to provide expert and compassionate care to patients. Email CV to: careers@aggeus.org or call 773-770-0140 x300/x305. www.aggeus.org

ASSOCIATE POSITION - MANHATTAN

Podiatrist needed for busy state-of-the-art offices in Manhattan. Offices are located near Penn and Grand Central Station. Along with CV, please provide medical plans that you are currently participating in. Please forward your information to roni@myfcny.com

ASSOCIATE POSITION – FLORIDA

Emerald Coast on the North Shore of the Gulf of Mexico, a well-established group practice with multi-offices, seeking an associate with opportunity for partnership for a PSR-24/36 Doctor well-trained in foot/ankle/diabetic problems/wound care/surgical and medical podiatric care, covering 3 area hospitals, NO nursing homes. e-mail letter of interest, CV, and references to basewedge@yahoo.com

ASSOCIATE POSITION - TAMPA

Looking for outstanding associate for current solo practice with partnership opportunity. Research my practice by Googling Dr. Marc Katz Tampa and then based on what you find tell me the reason you would be the perfect candidate. We are only looking for long-term high quality candidates. Email me at:DocMKatz@gmail.com with your answers and CV.

ASSOCIATE POSITION - TENNESSEE/NORTH GEORGIA

Multi-physician, Multi-office practice looking for motivated new associate leading to partnership. We are a busy practice with state of the art technology: EHR, Digital X-ray, Diagnostic Ultrasound, PADnet, EPAT machine. Applicant should be PMS 36/Board Qualified/Certified. Applicant should be ethical, personable, hard working and interested in providing all aspects of podiatric care to our patients. Competitive Salary and benefits. All interested candidates please send a CV with two letters of reference to mybestnewjob@gmail.com

ASSOCIATE POSITION - PART TIME - OCEAN COUNTY, NEW JERSEY

Looking for PSR 24/36, board eligible preferred. Busy podiatric practice with up to date EMR & practice management program. Practice currently offers digital x-rays, ultrasounds, vascular studies and laser treatment. Good mix of general podiatry, wound care and surgery. Must be ethical, hardworking and committed to quality patient care. NJ license needed. Competitive salary and benefits. Send cover letter and resume to: AOKNDPM@gmail.com

ASSOCIATE POSITION - UPSTATE NEW YORK

Surgical based, multi-office practice in Upstate New York looking for a highly motivated podiatrist to join our group. Base salary plus incentive. Opportunity for growth. Email resume and cover letter to: professionalfootcare@live.com

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 24-36 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 Diane Coulter, Office Manager.

ASSOCIATE POSITION - SEATTLE, WA AREA

Established podiatric clinic looking for an associate to join our team, 5 offices located around the greater Seattle, WA area. Great base salary, benefits and friendly work environment. Please send resume to: seattlefootdoctor@yahoo.com

PRACTICE FOR SALE - SOUTH NEW JERSEY

Great practice for sale, lease it, work in practice, rent-free first year, associateship possible. Must have NJ licensure have own TIN participation for Horizon, Cigna, Aetna, etc. Retiring. Anyone is welcome to make offer or come up with other ideas. Contact footcare@comcast.net

PRACTICE FOR SALE- MARYLAND, DC SUBURBS

Be an owner not a worker. 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

PRACTICE FOR SALE - AUSTIN TEXAS

Great opportunity for new practitioner or an additional office. 18 year practice with large patient base. Current physician transitioning to part time then retiring to pursue another business opportunity. Start turn-key without need for a bank loan. Great area to live and work. Susieintx@aol.com (512) 565-6634

PM News Classified Ads Reach over 13,500 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 13,500 DPM's. 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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