The Voice of Podiatrists

Serving Over 14,000 Podiatrists Daily

April 16, 2013 #4,743 Publisher-Barry Block, DPM, JD

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PA Podiatrist and Temple Students Become First Responders at Boston Marathon

For 28 years, Dr. Howard Palamarchuk has taken his Temple University School of Podiatric Medicine students to the Boston Marathon. "This is a field trip for them, kind of a graduation trip to come up and take care of the runners," he said just a few hours after the deadly explosions. "Usually, we take care of problems -- ankle problems, blister control. That's about as bad as it ever gets. Until today."

Dr. Howard Palamarchuk

"And suddenly, there were just two -- one large explosion followed by another. You could feel the concussion of it. And then it smelled like gunpowder. Then, all of the sudden, the medical tent suddenly became a mass casualty tent." Although no one expected to go from blister patrol to triage, Dr. Palamarchuk said he was proud of his students. "Everyone treated. It's just quick, grab whatever you can. They reacted quickly and took the lead of the medical doctors. It was a good effort. I was proud of them."

Source: Karen Araiza, WNBC (Philadelphia) [4/15/15]

PM Upgrades Its Server

If you've visited our website www.podiatrym.com in the last 24 hours, you've undoubtedly noticed the increased speed of navigation. This is due to the installation of a faster and more powerful server, which will speed up tasks such as accessing and printing CMEs or using our search engine. Thanks for completing this massive project go to Dr. Al Musella, our talented and hard-working webmaster with assistance from Michael J Block, our technical editor. Michael is graduating from the The Cooper Union (School of Engineering) in May and immediately starting his studies at the Cardozo School of Law in New York City.

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
Do you hire people who smoke?
Click HERE for Results

TX Podiatrist Discusses Many Benefits of Epsom Salt Foot Soaks

As the weather warms, Epsom salt soaks can help your feet feel better, look better, even smell better, according to Dr. Jeffrey Bowman, a foot doctor who serves on several committees with the American Podiatric Medical Association. Soaking in Epsom salt can help with a range of foot issues – from athletes who have been exercising aggressively to people with injuries, infections, inflammation or arthritis, said Bowman.

Dr. Jeffrey Bowman

The Epsom salt – actually magnesium sulfate – can be absorbed through the skin, Bowman said. That helps ease muscle and joint pain, swollen and inflamed feet, foot and toe fungal infections, odor and skin problems. "Epsom salt helps reduce swelling and increase circulation," said Bowman, past president of the Texas Podiatric Medical Association and an avid runner who soaks in Epsom salt while training.

NYCPM Student Receives ACFAS Award

Robin Lenz was given the Michael Stone Outstanding Professional Conduct Award at the recent American College of Foot and Ankle Surgery conference in Las Vegas, NV. The American Board of Podiatric Surgery (ABPS) presents this exceptional award annually to one fourth-year student from each of the nine podiatric schools. These students are selected due to great service to their respective college, professional conduct throughout all four years, and a focused interest in foot and ankle surgery.

Robin Lenz

Throughout his years at NYCPM, Robin has participated in numerous volunteer activities as well as conducted and presented various research projects. In 2011, Robin’s first research project at NYCPM was awarded runner-up for the Ralph Ger Student Platform Presentation award for an oral presentation on the Anatomic Study of the Transverse Occipital Ligament with Clinical Relevance. Impressively, this research went on to be published in The Spine Journal, a prominent orthopedic journal.

Source: Crystal Gunsch, NYCPM Student Alumni Report [Spring 2013]

TRAKnet Announces New and Improved Support Line 

During the rapid transition of TRAKnet PM from BioMedix to Nemo Capital Partners, LLC, the previous toll-free support line at BioMedix was found to be insufficient. “We feel that technical and customer support is crucial for our colleagues and we vow to make this priority #1," stresses Dr. Jeff Frederick, CEO of TRAKnet PM Technologies.

Dr. Jeffrey Frederick

As a result of this need, TRAKnet has announced a new support number that will be staffed by the highly trained and skilled TRAKnet support team. Those in need of support or have questions should call 419-214-3333 – a direct line.

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

Bret Ribotsky: What is the greatest benefit you derived when you joined the AAWP (American Association of Women Podiatrists)?

Erika Schwartz (president AAWP): Advice and mentorship second to none. I found a group of DPMs who were very open and explained items that I may have not known, like obtaining disability insurance and the ins and outs of dealing with insurance companies on both sides (as a provider and a purchaser).

Dr. Erika Schwartz

Bret Ribotsky: It sounds like a group that makes instant friends; it’s a shame it's only for women. 

Erika Schwartz: Anyone and everyone can join. Men are welcome.

Meet the Masters is broadcast each Tuesday night at 9 PM (EST). This week's guest is to be announced. You can register for future events by clicking here

Query: Unresponsive Vesicular Dermatitis

I have been treating a 54-year-old man for an erythematous, vesicular dermatitis involving the plantar medial aspects of both feet, left worse than right and the lateral distal margin of the right foot. He has no other dermatosis elsewhere body wide. He has type II diabetes, hyperlipidemia, and hypertension. This condition has been present for about 7 to 8 months. Prior episodes responded to OTC moisturizing. He has had very thick toenails for many years and also thick nails on one hand. Exam resulted in a positive PAS for the toenails and negative for the skin. Skin biopsy came up with a differential diagnosis of: chronic allergic contact dermatitis, chronic nummular eczematous dermatitis, or chronic dyshidrotic dermatitis (pompholyx)).

I've been treating him with fluocinonide ointment, oral Lamisil, topical clotrimazole, and desiccant measures. While he has had some small improvement, the dermatitis persists. The dermatitis causes very little itching, but the skin gets dry and cracks, causing pain.  He notes that his fingernails have been clearing but the toenails are status quo after about 2 months of oral Lamisil. Any suggestions?

Mark Aldrich, DPM, Antigo, WI

RE: EMR Compatibility with Dragon Voice Recognition (John Scheffel, DPM)
From: Richard A. Simmons, DPM
 
A suggestion would be to dictate with Dragon Voice Recognition into a standard word processing program (e.g., Microsoft Word), then copy/paste that transcription into the EMR. You did not mention if your EMR is onsite or in the cloud; this could make the difference. Sometimes using Dragon across the internet into a cloud EMR is a very slow process. If your EMR is onsite, the problem may be with the amount of available RAM of your server. An IT specialist could help you determine this. Personally, I use my old Medinotes program to transcribe, then copy/paste into Practice Fusion. This allows me to have a copy available onsite as well as the EMR in the cloud.

Richard A. Simmons, DPM  Rockledge, FL  RASDPM32955@gmail.com

RE: EMR Compatibility with Dragon Voice Recognition (John Scheffel, DPM)
From: Pete Harvey, DPM

I use Dragon Medical 10. There is also a Dragon Medical 11. It is important to also use the Nuance PowerMic. These are all divisions of the original Dictaphone company. You can say “Open Dictation Box” almost anywhere in any program. Dictate to the box, then hit the transfer button or say “transfer”. However, the problem can probably be resolved with settings. Go to TOOLS>OPTIONS>and review all tabs. If this gets confusing or doesn’t work, call the people who sold you the program, or better yet, call your EMR directly, and they should be able to resolve the problem.
 
Pete Harvey, DPM, Wichita Falls, TX, pmh@wffeet.com

RE: Bullying By Stomping on Teens' Feet
From: Billie A. Bondar, DPM

Recently, I saw a young male teenager of small stature with bad ingrown toenails who has been wearing steel toed boots at school for a few months. I find that such a shoe can cause toenail problems, as with our shipyard workers nearby; but in this case, I pursued the reason why he was wearing this type of boot during school. After some hesitation, he responded that it is for protecting his feet. This is the second kid in 6 months who has other boys bullying him by stomping on his feet and the feet of "weaker" kids. This is an important area of social youth consequence that needs to be addressed within our educational system. Our profession needs to alert all podiatrists and other specialists to be aware of this situation.

Billie A. Bondar, DPM, Rochester, NH, hrcbillie@aol.com

RE: APMA Pinterest  Page (Crystal Holmes, DPM)
From: Robert Scott Steinberg, DPM

Honestly, I do not believe Dr. Holmes understands social media any more than the "kids" in the APMA's PR department. Why is it okay with you that the APMA Pinterest site contains random unscientific material? You are mistaken if you think the majority of users understand the difference between what a DPM posts, and what the general public posts.

Why is it that you, or anyone on your committee ever posts on the APMA LinkedIn page? Why is it that the page is used for companies who do not support the APMA to "sell"?  Why is it the page has more post from non-DPMs than DPMs?

I know the process. The APMA staff writes the stuff, and then the committee is supposed to review it. I only have to point to last Spring's Foot Prints, stating we make custom insoles (no mention of prescription orthotics), as to the failure of the committee to review and guarantee that we sound like we know what we are - the experts, when it comes to the foot and ankle

Robert Scott Steinberg, DPM, Schaumburg, IL,Doc@FootSportsDoc.com

RE: APMA Pinterest Page (Crystal Holmes, DPM)
From: Brian Kiel, DPM

I recently wrote a letter on this forum excoriating the APMA for its incompetence and irresponsibility in the development of the Pinterest site Beat-Bunion-Blues. A response to my post was published on this site several days ago and it is even more ridiculous and irresponsible than the site itself.

Crystal Holmes DPM, the chairperson of the APMA communications committee stated, "images (not the source of the images) are the content users are interested in)." So, according to this web wizard, people looking for advice about bunion treatment are only looking for pictures, not...

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

RE: Competency of APMA Leadership (Allen Jacobs, DPM)
From: Lloyd S. Smith, DPM

I am personally and professionally offended by the inane and misinformed comment by Dr. Jacobs about Dr. Gastwirth. There is no individual within our profession who since 1970 has contributed to its progress more than Glenn Gastwirth, DPM. We were classmates at NYCPM, close working colleagues during my tenure on the APMA Board of Trustees, and my confidante and guide during my tenure as APMA president. We continue to communicate on issues of mutual concern. Despite my professional respect for Dr. Jacobs, his comments should be retracted and an appropriate apology offered. 
 
Lloyd S. Smith, DPM, Newton, MA, lloydpod@yahoo.com

RE: 104 Applicants Not Matched for Residency Positions (Robert Kornfeld, DPM)
From: Dennis Shavelson, DPM

Dr. Kornfeld understands the 104 crisis, but I suggest it to be the iceberg tip of the DPM titanic crisis that podiatry is currently sailing on. Podiatrists, residents, and the “lost 104” need short, cheap, intense workshops and training programs to, as Robert has so aptly stated, establish “thoughtful, patient-specific diagnostic and treatment paradigms” in practice. These courses must also create a profitable core to practice that will ensure a respectable income commensurate with the investments we are making every day to be healers.
 
With that in mind, I am offering 1-2 or 3 day workshop/practice shadowing at The Foot Typing Centers of LifeStyle Podiatry in NYC to any lost 104 or current 2nd or 3rd year residents. These workshops will focus on Foot Centering Biomechanics®, Closed Chain Dermatology®, and “uninsured/uncovered” programs like lasers and in-offfice dispensing. There will be no associated fees.

I will allow 2 participants a week, starting in two weeks and lasting throughout the summer. Participants must dress, act, and behave professionally. 

Dennis Shavelson, DPM, NY, NY, drsha@lifestylepodiatry.com

RE: 104 Applicants Not Matched for Residency Positions (Robert Kornfeld, DPM)
From: Robert Kornfeld, DPM

I would like to clarify my offer since many of the 104 wanted to know how to "apply" to the Pre-Residency Fellowship in Integrative Podiatric Medicine. This offering is open to all of "The 104." There is no application necessary, only the desire to become part of medicine’s fastest growing sub-specialty of integrative medicine and the desire to become part of the residency shortage solution on a team, in community with collaboration.

We are looking to create a population of podiatrists who will enter their professional practices with an expanded focus on foot and ankle medicine. The fellowship will include medical training, education, and research through the lens of integrative medicine. These DPMs can become a resource and consultant for traditionally trained DPMs who wish to add a new dimension to their practice. Stipend: with the support of the profession, we are anticipating that each Fellow will receive a stipend of $27,000 - $38,000.

Robert Kornfeld, DPM, Manhasset, NY, Holfoot153@aol.com

PODIATRIC MERGERS - CHICAGO AREA

Weil Foot Ankle & Orthopedic Institute is expanding their presence in the Chicago metropolitan area. We are interested in discussing merger with current  podiatric practitioners in Chicago and surrounding area. Practices that have a minimum of 5 to 25 years of activity are welcome to meet with us and visit our rapidly expanding practice that currently numbers 18 DPMs, a neurologist, a rheumatologist, an orthopedic surgeon, and a primary care sports medicine physician. For more information contact: info@weil4feet.com or call Stephanie Spiegel, COO at 847-390-7666.

PODIATRIST NEEDED - VAN NUYS, CA
 
Looking for reliable, honest and motivated podiatrist to assist with house calls to patients home residence and various health facilities.  Candidate must be willing to drive throughout the San Fernando Valley and the greater Los Angeles areas. Flexible schedule. If interested, please email resume to homefootcare@hotmail.com
 

ASSOCIATE POSITIONS – MARYLAND (FULL-TIME/PART-TIME)

Are you motivated, personable and enjoy working with the elderly? We are offering part-time positions in Maryland. Our group, Podiatry Management Services, provides care in Nursing Homes, Assisted Living, Senior Homes, Adult Daycare and other similar facilities. Please e-mail your CV to: drhprosen@verizon.net or fax to 410-486-2049 or call Dr. Herbert Rosen at 410-580-0255.

SEEKING FULL OR PART-TIME PODIATRIST - NEW JERSEY

An outstanding practice opportunity! We are searching for a dedicated and caring full time or part-time podiatrist to join our growing endocrinology practice that is devoted to quality patient care and conveniently located in Englewood, NJ. The office is less than ten miles from Manhattan. Competitive salary and benefits package offered. For further details, please call Victoria at (917)655-9009 or email resume to cvsschwartz@aol.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 - 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."

ASSOCIATE POSITION - PUERTO RICO

Looking for a well motivated surgically trained podiatrist for a 20 years old hospital based multi office practice . Candidate must be personable, ambitious, and knowledge of SPANISH language a must. Hospital surgical privileges available with heavy load of High Risk Diabetic Foot patients. This position leads to PARTNERSHIP, and eventually ownership. Offices located near San Juan Metro area near Beaches, great schools, and major shopping malls. Please send CV to medicopodiatra@aol.com.

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".

POSITIONS AVAILABLE - UPSTATE NEW YORK and CONNECTICUT

 Looking for podiatrists to see residents in nursing homes. Syracuse, Schenectady, Albany  Cortland, Little Falls, and Gloversville, and surrounding areas, New Britain and Southport, CT. Great opportunity for supplemental or full-time income. Email inquiries to phasetwopodiatry@gmail.com.

ASSOCIATE POSITION - WASHINGTON, DC/ MD SUBURBS

Prominent, established two office practice seeking well rounded, personable, ethical individual with sharp medical and surgical skills. Must be 24/36 month trained, ABPS qualified or certified. Partnership opportunity with ownership potential. Competitive salary with benefits package. Please send CV to ponyrunner66@gmail.com

ASSOCIATE POSITION - NORTH TEXAS

Associate position available. Located 50 miles from Dallas. All phases of Podiatric care with no ER call. PSR 24 required. Hospital privileges & strong referral base. Practice has EMR, digital X-ray & on site vascular testing. Very competitive salary and benefits. Please send CV to Footdoc3143@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

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/PARTNERSHIP  MIAMI/KENDALL FLORIDA

Podiatrist with interest in foot and ankle surgery and comprehensive foot and ankle care. Pathway to partnership/ownership available. Send CV and information: ibaumdpm@bellsouth.net

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

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

PRECEPTOR WANTED - CHICAGO

Preceptorship at a State Licensed and accredited Surgical Center in Chicago. Over 2,500 cases annually in podiatry. orthopedics, general surgery, pain management and neurosurgery. Preceptor will be involved in assisting surgeons and scrubbing into cases. Rotations in anesthesiology and 2 months in internal medicine at local teaching hospital. Salary of $ 52,000, plus health benefits and vacation. Housing provided. Do NOT send transcripts or Board scores. Preference will be given to 2013 graduates of the College of Podiatric Medicine. in Chicago.  Send letter of request to: Advanced Ambulatory Surgical Center, Inc. 2333 North Harlem Ave. Chicago, IL 60707. Attn: Dr. Hrywnak.

BUSINESS DEVELOPMENT MANAGER

Trulife, a global manufacturer of orthotic, prosthetic, physical rehabilitation and breast care products is searching for a strong business development manager to build the market position of our custom AFO line in podiatry market.  Successful candidate will have experience selling into the podiatry market segment and have established business relationships with podiatrists.  Proven track record of growing sales in podiatry market needed.  C.Ped credential +.  Must be able to develop & manage a sales force consisting primarily of independent sales groups, experienced in B2B podiatry, orthopedic, DME sales.  75% travel. To apply, email resume to lbouchard@trulife.com

EQUIPMENT FOR SALE - PADNET AND MIDMARK 417 PODIATRY CHAIR

Both in excellent condition. Asking $8,000 for PADNET and $3,000 for chair. Inquire (516) 922-0502 or bombbustr7@aol.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

 PRACTICE FOR SALE - VIRGINIA

62 years consecutive private podiatry practice, excellent referral base, busy, modern equipment; X-Cel Xray machine, digital Tigerview scanner, Traknet EMR, and 3 new Midmark chairs for the doctor and patient. Virginia license is required. Please contact Dr. Fine at drmichaelfine@aol.comor 703-582-5999.

PRACTICE FOR SALE - BROOKLYN, NY

28 year old practice in a desirable part of Brooklyn. EHR certified with stage 1 criteria successfully met. Practice has room to grow. Good mix of Medicare hazardous foot care; surgery and wounds. Low overhead. Priced to sell. Email Inquires to brooklynpracticeforsale@gmail.com.

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

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.

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