The Voice of Podiatrists

Serving Over 14,000 Podiatrists Daily

April 17, 2013 #4,744 Publisher-Barry Block, DPM, JD

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IA Podiatrist Among First Responders to Boston Marathon Massacre

A doctor from Iowa was among the first emergency responders when two bombs went off Monday near the finish line of the Boston Marathon. The blasts killed three people and injured at least 175 others. Des Moines podiatrist Dr. Kirk Neustrom was working at the finish line medical tent, as he has done the last 19 years, when he heard “a loud boom.” He stepped outside just a couple of seconds later. “I looked down the street and saw a big plume and thought ‘huh,’ I mean it sounded like a cannon and I thought that was strange,” Neustrom says. “And then, about 10 to 15 seconds later, we saw and heard the next one and I immediately knew it was a bomb.

Dr. Kirk Neustrom

So, I immediately headed toward where the bombs went off because everyone knows if you’ve got bombs going off, you’re going to have people needing medical attention.” The 53-year-old Neustrom, a Navy veteran, helped with basic triage. One of the first victims he encountered was badly wounded. “A gentleman with his legs blown off below the knees. He had no legs. That was probably the most gruesome thing that I saw,” Neustrom says.

Source: Pat Curtis, Radio Iowa [4/16/13]

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
Do you hire people who smoke?
Click HERE for Results

UK Podiatrist Discusses Children's Shoe Fitting

Podiatrist Emma Supple recently answered some common questions about children’s foot health: Q: Why do I need to get my children’s shoes fitted?

Emma Supple

Emma says: “Growing feet need room to grow, and children’s feet grow in variable bursts so being vigilant and awareness is key. It is recommended that children get their feet measured every 6-8 weeks before they begin school, and then every 3-4 months once they begin school. Even if children haven’t outgrown their shoes, they should be replaced if the shoes are worn out. If children aren’t wearing correctly fitted shoes, they can create or sustain foot deformities that may have a significant impact on their adult lives due to foot problems.”

Source: Babyworld.com.uk [April 2013]

AZPOD Student Awarded AAPSM Scholarship 

Jonathan Shih a second year student at The Arizona School of Podiatric Medicine (AZPOD) has been awarded the Robert M. Barnes, DPM Memorial Scholarship at the American Academy of Podiatric Sports Medicine's (AAPSM) Day of Sports Medicine held April 13 at AZPOD.

(L-R) Jonathan Shih and AAPSM President Dr. Rob Conenello

The award is presented to an AAPSM student chapter member who has made significant contributions to podiatric sports medicine. Jon is the 24th recipient of this Award.

Stride Rite and APMA Team Up to Promote Children's Foot Health Month

Stride Rite Children's Group, the leader in premium children's footwear, is dedicating the month of April to children's foot health and awareness. According to the APMA, nearly 78% of Americans have experienced foot problems as a result of wearing uncomfortable or ill-fitting shoes during childhood. "We are excited to support Stride Rite in helping to educate parents about foot development," said  Matthew G. Garoufalis, DPM, president of APMA. "From the early years of life, we have found it is incredibly important to provide the feet with a solid foundation to prevent problems later in life." 

Dr. Matthew Garoufalis

Stride Rite is proud to continue its partnership with APMA, the leading professional organization in the field of podiatric medicine and surgery. Stride Rite has received the APMA Seal of Acceptance for its Sensory Response Technology™ (SRT™) and Crib & Crawl™ Collections (Pre-Walkers, Early Walkers, and Walkers) and the Stride Rite Fit Training Program.

Former AK Podiatrist Presents at HIMSS Meeting

Dr. Steven J. Kaniadakis, a former practicing podiatrist from Alaska, recently became the first podiatric surgeon ever to be an invited presenter at the prestigious HIMSS organization, a cause-based, not-for-profit organization exclusively focused on providing global leadership for the optimal use of information technology (IT) and management systems for the betterment of healthcare. Kaniadakis presented his software, an electronic super-bill invention.

Dr. Steven J. Kaniadakis

Forty thousand people attended, including former President Bill Clinton, who gave the keynote address, and former White House Official, Karl Rove. The super-bill that  Kaniadakis developed is designed to enable users to use virtually any EHR (EMR) and practice management or billing/coding software, so that users are not limited to using one EMR system.

IL Podiatrist Among Those Arrested in Chicago Hospital Kickback Case

After an investigation involving witnesses wearing wires inside a hospital, federal agents have arrested the owner-CEO of Sacred Heart Hospital in Chicago and five other people on charges of running an extensive kickback conspiracy in which physicians were bribed with $225,000 in cash and other payments to refer Medicare patients for treatment.

Among those arrested Tuesday was Edward J. Novak, 58, the owner and chief executive of the 96-bed stand-alone for-profit hospital on Chicago's West Side. Authorities also detained Roy Payawal, 64, chief financial officer and executive vice president at the hospital, and four doctors who practiced there: Dr. Venkateswara “V.R.” Kuchipudi, 66; Dr. Percy Conrad May, Jr., 75; Dr. Subir Maitra, 73; and Dr. Shanin Moshiri, 57. Moshiri, a podiatrist, allegedly received $86,000 for purporting to teach podiatry students according to prosecutors.

Sources: Joe Carlson, Modern Healthcare, Annie Sweeney and Jason Meisner, Chicago Tribune [4/16/13]

Fee Data Puts Brakes on Docs' Test Orders: Study

It has long been an article of faith among certain healthcare reformers that soaring national healthcare costs can be constrained by making patients more aware of the cost of their own episodes of care. Price awareness by physicians could have similar effects, according to a team of researchers from the Johns Hopkins University School of Medicine, reporting in a six-page article in the online edition of JAMA Internal Medicine.

Their work, “Impact of Providing Fee Data on Laboratory Test Ordering: A Controlled Clinical Trial,” shows that presenting lab test costs to providers at the time the tests are ordered resulted in “a modest decrease” in test orders and costs. “Adoption of this intervention may reduce the number of inappropriately ordered diagnostic tests.”

Joseph Conn, Modern Healthcare [4/15/13]

RE: Unresponsive Vesicular Dermatitis (Mark Aldrich, DPM)
From: Bryan C. Markinson, DPM

It may be time for an IM injection of 40 to 60 mgs of Kenalog. However, before you do that, the patient should be patch-tested for shoe chemical allergies. It is quite possible that with the bazooka treatment the patient is getting, exposure to the primary allergen continues unabated. That should be addressed. You can send the patient to an allergist or do the testing yourself with the T.R.U.E. Patch testing kit.
 
Bryan C. Markinson, DPM, NY, NY, Bryan.Markinson@mountsinai.org

RE: Unresponsive Vesicular Dermatitis (Mark Aldrich, DPM)
From: Sloan Gordon, DPM

I suggest avoiding the potent topical steroids as their mechanism of action is vasoconstriction. I have had success with Pimecrolimus cream (a steroid-free medication applied to the skin). Also, there is a causal relationship with eczema and low levels of Omega 3s, so I would try some OTC or Rx Omega 3.

Sloan Gordon, DPM, Houston, TX, sgordondoc@sbcglobal.net

EMR Compatibility with Dragon Voice Recognition (John Scheffel, DPM)
From: Ed Wiebe, DPM

I have been using Dragon dictation 11.5 to supplement Practice Fusion EMR. I upgraded to 12.5 and when it wouldn't work, I contacted Dragon. They say it works with everything except any EMR program, and the fix is to upgrade to Dragon Medical for $1,600. Needless to say, I went back to 11.5, which by the way, only works with older versions of Adobe Reader, not the new versions. Nuance/Dragon put a "bomb" in their 12.5 version so they can sell their $1,600 medical version.

Ed Wiebe, DPM, Flagstaff, Arizona,  elw520@Hotmail.com

EMR Compatibility with Dragon Voice Recognition (John Scheffel, DPM)
From: Ken Schenley

Dragon Voice Recognition (and other dictation solutions) can be an extremely valuable tool to help with your documentation. Whether it is your only method of dictation, or used as a supplement to another charting or dictation solution, it provides you with a great way to express yourself in your notes.

As said before, you should contact your current, or future, EMR/Charting Vendor, and ask about implementation and ease-of-use. For example, the QNotes Office Solution from Quick Notes is a truly simple EMR that works extremely well with voice recognition, whether or not you use the portable Quick Notes iPad/Touchscreen. Simply find a patient, add a new note, and dictate! It’s as easy as that!
 
Disclosure: I am Executive Vice President at Quick Notes.

Ken Schenley, Cooper City, FL, ken@qnotes.com

RE: Competency of APMA Leadership (Allen Jacobs, DPM)
From: Neal Houslanger, DPM

I am an avid reader of PM News and am amazed at the attack on Dr. Glenn Gastwirth, the executive director of APMA. I have had the pleasure to know Dr. Gastwirth for about 40 years. I have contacted Glenn on numerous occasions in the capacity of president of 2 county associations and as an individual podiatrist working in private practice. He has always answered my questions promptly, professionally, and accurately. If he was unsure of an answer, he would research it and get back to me in a timely manner.

Dr. Gastwirth has attended many, many podiatric meetings throughout the country and always made himself available to answer any questions from the membership at any time. Like Dr. Barry Block, he has his finger on the pulse of podiatry and is knowledgeable in so many areas of our profession. He is a true asset and icon, we are all lucky he serves in his capacity.

Neal Houslanger, DPM, Patchogue, NY, info@a1webs.com

RE: TX Podiatrist Discusses Many Benefits of Epsom Salt Foot Soaks
From: Joshua Kaye, DPM
 
In reading the plethora of scientific information over the years regarding the uses of Epsom salt, I was surprised to read Dr. Bowman’s comments regarding this salt. Any salt, including magnesium sulfate, is anhydrous, causes drying of the skin, and absorbs fluid from wounds and ulcers. However, I have never found any science that demonstrates that warm Epsom salt soaks have any benefit over warm table salt soaks of equal molecular concentration. I would appreciate being enlightened with non-anecdotal facts.
 
Joshua Kaye, DPM, Los Angeles, CA, jk@joshuakaye.com

RE: 104 Applicants Not Matched for Residency Positions
From: Judith Rubin, DPM

I received over twenty emails from these stranded applicants. I too think that they should go to residencies and offer their services for no pay. Sometimes, residents drop out for reasons of all kinds and you will already be there. There are many other professions who intern for a year or two without pay. As long as you get that certificate, with equal training, it is worth it. Believe me, I made $7,800 my first year and $12,000 the second year.

If you have loans from school, you can apply for a two-year hardship deferment. That is what I did, and then I got two more years at interest only. It is do-able. Be proactive, strong, and persevere. I promise you will make it. To the class of 2013, I give you all my best wishes. I know how hard you all worked.

Judith Rubin, DPM, Houston, TX, jrubinfoot@aol.com

RE: Mrs. Malaprops' New Topical Antibiotic?
 
A patient presented with an ingrown toe nail. When asked if it was painful, she replied, "it was until I put some 'Neosperm' on it."
 
Rich Hofacker, DPM, Akron, OH

 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.

 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.

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 12/24 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.

ASSOCIATE POSITION DETROIT SUBURBS

Multi-location practice seeks individual with excellent surgical training.  Practice is well established for over 30 years.  EMR’s available, ultrasound, Doppler & circulation testing, digital x-ray.  Buy in opportunity as owner plans on retiring in 2016 or sooner.  Please send cover letter with CV to footlaw@hotmail.com

ASSOCIATE POSITION – MARIETTA, GA
 
An associate is needed for a dynamic practice located in Marietta, GA, a suburb of Atlanta. We are looking for a well trained, motivated and personable candidate. This is a great practice opportunity. 2 years or more of a surgical residency is required and practice experience is a bonus. Our office has a licensed and certified surgical center. This is a modern practice with ultrasound, digital x-ray and EMR. We offer a competitive salary and benefits along with potential for partnership. Please e-mail your cover letter, curriculum vitae, letter of references and picture to light@eastcobbfoot.com.

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

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

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

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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