The Voice of Podiatrists

Serving Over 12,500 Podiatrists Daily

April 12, 2011 #4,132 Publisher-Barry Block, DPM, JD

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We've just mailed the April 2011 issue of Podiatry Management. This 244-page special Who's Who Buyers' Guide  issue includes our cover story, "ICD-10-CM: 2013 is Just Around the Corner" by coding expert Dr. Harry Goldsmith. You'll also find a roundtable discussion, "Podiatrists Who Administrate" as well as an assortment of features, including our informative columns, and a CPME-approved CME.

April 2011 Podiatry Management

MA Podiatrist Discusses Children and Foot Health

Podiatrist Dr. Neil Feldman warns that children with foot problems often don’t complain of pain. They just get tired easily, won’t participate in activities they like, or they move in an uncoordinated manner. Parents should watch for those signs and have children examined if they feel there may be a problem.

Dr. Neil Feldman

“Children also outgrow their shoes more quickly than parents expect,” he said. “The shoe needs to match the shape of the foot. If a child’s foot is wide in front, the shoe needs to be wide in front.”
 
Source: Nancy Brumback, Community Advocate [4/8/11]

AZ Podiatrist Presents Virtual Keynote Address to Brooklyn Hospital

David G. Armstrong, Professor of Surgery and Director of the University of Arizona's Southern Arizona Limb Salvage Alliance (SALSA), delivered a video keynote address to New York's Coney Island Hospital. "It was a pleasure to do this lecture virtually with Dr. Glenn Donovan, Chief of Podiatric Surgery at Coney Island Hospital," noted Dr. Armstrong. 

Dr. David Armstrong

"To be able to project our efforts and collaborations virtually like this with such regularity worldwide really is satisfying. We call it 'spreading the SALSA'," said Armstrong. Dr. Donovan noted, "I took this position many years ago in part on Dr. Armstrong's advice, and the job is really making a difference."

MA Podiatrist Honored by His Temple

Each year, Beth El Temple Center spotlights the achievements of individual congregants. This year, the Temple committee, chaired by Florence Cooperstein, honored Dr. David Alper, who is is well known in Belmont as a podiatrist for 25 years and also from his 24 years as Chairman of the Belmont Department of Health. Alper is also one of the founders of the Belmont Youth Commission and received “Citizen of the Year” in 2005. Less well known is Alper’s interest in blacksmithing; he may have the only blacksmith forge in Belmont, for him a healthy outlet in hammering metal after performing  delicate foot surgery. 

Dr. David Alper

Also less well known is Alper’s early training overseas. In 1984, Alper earned a fellowship at Hadassah Hospital in Jerusalem. At the time, podiatry was not an established specialty in Israel or in Egypt. On short notice, the Israelis picked up Alper in a jeep, drove him to the Suez Canal and he took a ferry to Egypt. He lived near the Pyramids for a month and taught Egyptian physicians.

Source: Len Abram, The Belmont Patch [4/9/11]

Essential Benefits Under The Patient Protection and Affordable Care Act

The health system reform law requires plans in state health insurance exchanges to offer general categories of medical services and items, but it leaves it up to the Dept. of Health and Human Services to determine how much more specific the underlying essential benefits package should be. Here are the categories:  

• Ambulatory patient services
• Emergency services
• Hospitalization
• Laboratory services
• Maternity and newborn care
• Mental health and substance use disorder services, including behavioral health treatment
• Pediatric services, including oral and vision care
• Prescription drugs
• Preventive and wellness services and chronic disease management
• Rehabilitative and habilitative services and devices

 Source: Patient Protection and Affordable Care Act via AM News

Editor's Note: PM News is proud to present excerpts from Meet the Masters.

Bret Ribotsky: What kind of person does it take to be a residency director? 

Dr. Alan Catanzariti

Alan Catanzariti: I think it is somebody who just really enjoys teaching. If you feel you have something to give back, and if you feel you have something to offer in terms of teaching, I think it requires just a little bit of passion and interest more than anything else. I think you just really need somebody who wants to teach residents, wants to deal with young people, wants to be able to get involved in training the future of our profession. I certainly hope a lot of people reading this will give consideration to getting involved in residency training.  

Dr. Paul Kinberg

Meet the Masters is broadcast each Tuesday Night at 9 PM (EST). The next segment will feature  coding and compliance expert Dr. Paul Kinberg. You can register for this event by clicking here

RE: Orthotic for Golfer With Met Adductus Foot
From: Dwight L. Bates, Roody Samimi, DPM

A panel of Plastizote could be placed on the lateral/plantar aspect of the left shoe to accommodate the styloid process of the foot. Probably, the shoe would have to be replaced/repaired very often.

Dwight L. Bates, DPM, Dallas, TX, dlbates04@yahoo.com

I would consider a custom orthotic to give adequate pronation control, minimal fill to the medial arch. If the pain is on the side of the 5th metatarsal base, your biggest challenge will be to get a wide enough orthotic for a wide enough shoe - the patient may need to get these in wide sizes. If it's sub-5th met base, you may want to consider something such as a 5th ray cut out, depending on any calluses or lack of stiffness (also sometimes termed "hypermobility") in the 5th ray. Also with these wider overpronating met adductus foot types, you don't want too thick of an orthotic (i.e., avoid bottom cover, remove old insert from shoe) so that both the foot and orthotic can fit comfortably into the shoe.

Roody Samimi, DPM, Cincinnati, OH, roody.samimi@gmail.com

RE: Presentation to Nursing Students (Michael Lawrence, DPM)
From: Richard Wolff, DPM, Kenneth L. James, DPM, MPA

I have given presentations to nursing students and MD residents in the past. It is very rewarding, as they are usually very appreciative of the education that we can offer. I would be happy to share PowerPoints that I created and used in the past. Contact me.

Richard Wolff, DPM, Oregon, OH, wolffie@sbcglobal.net

When I was active serving nursing homes, I was often asked to give educational in-services to staff and sometimes family members. I usually spoke for fifteen minutes about what I wanted them to know that would help me better care for the patients; e.g., how to identify circulatory problems, early ulcerations, and infections.

After this, I would have a question and answer period. This kept my talk extremely interesting as....

Editor's Note: Dr. James' extended-length letter can be read here.

RE: Celebrex Not Being Detailed to Podiatrists (Jeffrey Kass, DPM)
From: Gerald Mauriello, Jr., DPM, MA, Robert Kuvent, RPh, DPM

Certain reps for Celebrex/Pfizer will call on internists, others cardiologists, and still others Ortho and podiatry. Not every rep calls on every specialty. It is very likely that there is, in fact, a rep in your area who does service DPMs. I would contact Pfizer. I'm sure they can put you in contact with him or her.

Gerald Mauriello, Jr., DPM, MA, Freehold, NJ, drmauriello@gmail.com

With all due respect to Dr. Kass, one should prescribe based on the best drug available, not on who gives you free samples.

Robert Kuvent, RPh, DPM, Chandler, AZ, ftfixr@gmail.com

RE: Advertisements for Laser Treatment of Onychomycosis (Ken Meisler, DPM)
From: Bryan C. Markinson, DPM

I know Dr. Ken Meisler for many years. I refer him patients for certain problems with pleasure, and they are always satisfied. In every regard, I consider him an ethical colleague. However, I am not at all sure what Dr. Meisler addresses in his post except to tout his own ethical behavior regarding his use of laser for onychomycosis. In his last sentence, he states, "I hope Dr. Markinson will agree that after giving patients a more realistic expectation that it is appropriate to use laser for fungus toenails."

I never, at any point, questioned the appropriateness of this modality. I only questioned...

Editor's comment: Dr. Markinson's extended-length letter can be read here.

RE: FL Podiatrist Charged With Child Abuse
From: Olga Luepschen, DPM
 
As a Florida podiatrist practicing in Highlands County, I was offended that PM News quoted the Highlands Today newspaper regarding Dr. Evaristo Rivero's arrest. Many times newspapers print information incorrectly and prematurely without knowing all the facts.

I feel that PM News should have waited until all the facts are known. This type of story isn't helping podiatry's image, especially since Dr. Rivero has not been convicted of anything.

Olga Luepschen, DPM, Sebring, FL, feetdoctor@hotmail.com

Editor's Note: PM News stands ready to print any corrections, retractions, or acquittals on any story we re-print..

RE: Not Immobilized by a Podiatrist

Seen at the Park Meadows Mall in Denver

Source: Submitted by Michael J. Schneider, DPM, Avon-Frisco, CO  

PODIATRY SUPPLIES--CHEAP!

Closing office. Gloves, pads, CAM walkers, casting splints, Powersteps, dressings, Covelets, Elastikon, Zonas, Coban, etc, etc. E-mail for complete list/description. Why pay full price? Huge discount if you take entire inventory. E-mail for complete list/description to goodfeet@hbci.com or call 507-429-7957.

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

GROWING PRACTICE FOR SALE- PHOENIX ARIZONA

Part of the largest multi-specialty group in Phoenix comprised of approximately 30 referral sources. Selling 50% share in practice grossing 600K. Gross is based on part-time practice but easily expandable to full-time if desired. Active, healthy client population, excellent surgical base, very minimal palliative care. PSR-36 required. Inquire at drlaurel@cox.net

PRACTICE FOR SALE - HOUSTON, TEXAS

28 year old busy, progressive practice for sale with an excellent reputation and well established referral base. Well-trained, dedicated, supportive staff. Excellent cash flow $475K income after overhead. EMR, digital x-ray, diagnostic ultrasound. Free standing building also available with large outdoor sign. Also available are two transferable surgical center partnerships(with distributions). Owner retiring and willing to stay part time during transition. Cover letter/CV to softechpodiatrist@gmail.com

PGY-3 POSITION - NEW YORK CITY

PGY-3 position available starting July 1, 2011 at Beth Israel Medical Center in New York City. Please contact Dr. Richard Frankel at rfrankel@chpnet.org

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

OFFICE TO SHARE- NYC GREAT OPPORTUNITY

6 rooms (1000 sq. feet), Gramercy Park area. Newly renovated, painted, fully equipped and wired. Good for all situations. Available for immediate occupancy. Rental terms are competitively priced based on need. Please contact 157629@gmail.com for more information.

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 - 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

ASSOCIATE POSITION - TEXAS

Looking for podiatrist to see patients in nursing facilities in East Texas and two nursing facilities in El Paso. AVAILABLE IMMEDIATELY. Please contact me at doconcall02@aol.com

ASSOCIATE POSITION - NEW YORK CITY & QUEENS

One of the fastest growing podiatry practices in New York City and Queens seeks a podiatrist who participates with HealthFirst, Fidelis, and other Medicaid plans. Preferably a Spanish speaking podiatrist. Contact me at Podocare@aol.com

ASSOCIATE POSITION - MICHIGAN

Entry level DPM needed to join an established, full service, group podiatry practice in Monroe, MI. A generous salary and future partnership opportunity will be offered to the right applicant. Check out our website at www.monpod.com Send CV and cover letter to info@monpod.com

PM News Classified Ads Reach over 12,500 DPM's and Students

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