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PMNews
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| PM News | |
The Voice of Podiatrists
Serving Over 15,819 Podiatrists Daily
April 24, 2014 #5,047  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2014- No part of PM News can be reproduced without the
written permission of Barry Block
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| EDITOR'S NOTE | |
Advance Notice: PM News will not be publishing from April 25 - May 3rd
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| PM NEWS QUICK POLL | |
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| PODIATRISTS IN THE NEWS | |
MO Podiatrist Uses HBOT to Save Patient's Limb
At age 51, Sherri Barnes was facing the amputation of her right big toe and a portion of her foot. The trouble began more than a year ago, when Barnes, a diabetic, lost her toenail. “After several rounds of the nail growing back and then falling off again, it progressed to a really bad infection and the bone was exposed,” Barnes says. “It was incredibly painful.” After a trip to the emergency department in October 2013, Barnes was referred to foot and ankle specialist Cody Fox, DPM, at Lake Regional Podiatry.
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Sherri Barnes and Dr. Cody Fox |
“For nine of 10 people in Sherri’s condition, amputation would be the only option,” says Fox, who commonly treats diabetic wounds. “Chronic wounds can lead to deep infections that involve bone and can eventually lead to nonviable bone. Fortunately, Sherri acted soon enough that treatment was still possible.” Barnes visited Lake Regional’s multi-services department for six weeks for IV antibiotics, as well as undergoing 20 daily visits to the Wound Healing Center, Monday through Friday, for two-hour HBO treatments. Now, after the specialized treatment, Barnes is looking forward to the future wound-free.
Source: Jennifer Bethurem, Camdenton Lake Sun Leader [4/21/14]
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| REMEMBERING THE BOSTON MARATHON BOMBING | |
NYCPM Student Among The Medical Volunteers at Boston Marathon
Warm weather sent hundreds of overheated and dehydrated marathoners to the finish line medical tent yesterday and kept doctors and nurses busy for hours. But the fatigued runners were a welcome change for the medical volunteers, who last year found themselves treating scores of patients with a wide range of traumatic injuries after the marathon bombings.
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Mohammad Rimawi |
The bombing drew some first-time volunteers. “That’s the biggest reason I came,” said Mohammad Rimawi, a third year podiatry student from New York. “When things like that happen, the best thing we can do is not to give up.” He tended to sore feet, while others checked blood pressure, gave runners fluids, and wrapped them in blankets.
Source: Priyanka Dayal McCluskey, Boston Herald [4/22/14]
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| PODIATRIC PRODUCTS IN THE NEWS | |
CA Podiatrist Shows Support for Boston Marathon
Dr. Robert Joseph is the co-creator of DoctorInsole, the first corrective over-the-counter orthotic. Dr. Joseph and his team, in support of the Boston Marathon, offered this patent-pending innovation in foot wellness at Booth #1328 as part of the celebration honoring this year's race in Boston at the John Hancock Sports & Fitness Expo, held at the Hynes Convention Center in the heart of Boston, Back Bay.
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Dr. Robert Joseph |
Additionally, as a way of giving back to his hometown, DoctorInsole was offered at a special discount of 20%, with a portion of all proceeds from sales going to The Boston Athletic Association, a non-profit organization which promotes a healthy lifestyle through the support of comprehensive charity, youth, and year-round running programs.
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| PODIATRISTS AND THE LAW | |
VA Podiatrist Gets Jail Time in Orthofix Probe
A Virginia podiatrist is sentenced to jail time for lying to a grand jury about her involvement in a scheme to defraud Medicare by collecting reimbursement for procedures using Orthofix's bone growth stimulator. Virginia podiatrist Dr. Ilene Terrell drew a jail sentence yesterday for lying to federal investigators probing Orthofix International and its bone-growth stimulators. Terrell was sentenced to 5 months in jail, 5 months of home confinement, 2 years of supervised release and a $15,000 fine, according to the office of the Massachusetts U.S. district attorney.
Source: Device Space [4/21/14]
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| PM JURY VERDICT REPORTER | |
Alleged Lack of Informed Consent and Negligent Supervision (FL)
Facts: An adult female patient, reportedly suffered osteonecrosis on her left foot resulting in permanent deformity to her great toe, an abnormal gait, and mental anguish after defendant podiatrist performed a modified Mcbride bunionectomy with hammertoe correction and plantar plate release. The plaintiff contended Wellens fell below the standard of care by failing to obtain consent to perform the bunionectomy, failing to advise the plaintiff of the risks, overtightening the medial capsule, placing the plaintiff's great toe in a varus malposition, failing to perform the surgery with neutral to slight valgus natural balance positioning of the toe and failing to prescribe a Dyna-Splint or similar device.
The plaintiff additionally contended that defendant was vicariously liable. The defense witness opined that the plaintiff's injuries were the result of a reduced blood supply to the area and the patient's inability to heal the bone. The defendants denied liability. The plaintiff's spouse made a claim for lost consortium but received no award.
Result: Plaintiff Verdict Total: $109,922 Judge Reduced Award To: $0
Plaintiff's expert witnesses: Jeffrey, Adler, DPM, East Chester, NY, Michael Clare, MD, Temple Terrace, FL
Defendant's expert witness: Thomas Merrill, DPM, Miami, FL
Source: Jury Verdict Research
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| HEALTHCARE NEWS | |
Hospitals Get Into Doctor Rating Business
After some doctors at University of Utah Health Care noticed scathing online reviews about themselves in 2012, the hospital system decided the best way to respond was by posting its patients’ ratings of physicians on the hospital’s own website. The hospital was already randomly surveying patients about their experiences with physicians. Now, when potential patients use online search engines to look for a University of Utah Health Care doctor, the hospital’s reviews pop up first. Many hospitals have surveyed patients about doctors for decades, but the data was usually only used internally.
In the past few years, some hospitals including the Cleveland Clinic, have started showing doctors how they compared to each other on the ratings. Online ratings of physicians haven’t caught on as much as ratings of books and movies, but medical information sites, such as Healthgrades and Vitals, and broader consumer sites including Yelp and Consumer Reports offer physician reviews. Some score doctors based on patient surveys, and some allow patients to post comments. A research letter in the Journal of the American Medical Association found that one in four patients consulted them when picking a primary care doctor in 2012.
Source: Phil Galewitz, Medscape News [4/21/14]
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| PRACTICE MANAGEMENT TIP OF THE DAY | |
Responses to ‘Your Fees are Too High’
Whenever patients tell you “I need a discount; your fees are too high,” look them square in the eye, count silently to three and then offer one of these responses:
• “Thank you for sharing that. How much too high are we?”
• “I appreciate your telling me that. Have you found a less expensive doctor?”
• “You are right; we are more expensive than some other doctors. How much did you hope to pay?”
• “I agree.We are not the cheapest. Is price your main consideration?”
• “Thank you for letting me know. I’m curious: How much were you expecting to invest in your health?”
Source: Adapted from “Handling the Dreaded Price Objection,” by Colleen Francis via Communications Briefings
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| RESPONSES/COMMENTS (DME) | |
From: Paul Kesselman, DPM
I too share the frustrations of many other podiatrists and suppliers, when it comes to dealing with therapeutic shoes and the nightmare the Medicare contractors have caused. However, the reality is that I hear from far many more DPMs (and others) who are successful when it comes to pre-payment and post-payment audits than I do from those with negative outcomes..
Having all the paperwork in order and taking no short cuts, does usually vindicate the provider at the contractor level. The biggest problem most suppliers have is getting the required...
Editor's note: Dr. Kesselman's extended-length letter can be read here.
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| RESPONSES/COMMENTS (NEWS STORIES) - PART 1A | |
From: Jeffrey Root
I appreciated Dr. Steinberg’s comments about the use of orthoses versus wedges in cycling shoes. Dr. Shier’s comment that cycling is a non-weight-bearing sport is a little misleading. Cycling is a partial weight-bearing sport in which the forefoot is used to apply force to the pedals of the bike in order to create rotation of the bike’s sprocket.
As a result of the pressure exerted on the ball of the foot, the lower extremity, which includes the subtalar and midtarsal joints, is functioning in a closed chain environment. It is similar to the...
Editor's note: Mr. Root's extended-length letter can be read here.
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MEETING NOTICES - PART 1
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| RESPONSES/COMMENTS (NEWS STORIES ) - PART 1B | |
From: Robert Scott Steinberg, DPM
For those high performance road shoes, with little extra space, I designed a special cycling orthotic, with the help of the owner of JSB Orthotics Lab. I figured that since there is no heel strike, there is no need for the plastic shell under the heel. The rear portion is cut off, leaving a convex shape to fit just proximal to the calcaneus. As I said previously, most often I add a metatarsal pad. I also order external forefoot posts, whenever forefoot posting is necessary. I do use a full length, thin top cover. The shell and topcover take up no more space than the shoe's sockliner that covers screws for the cleat. Without the shell under the heel, the calcaneus stays snug in the heel counter.
Disclosure: Other than being a customer, I have no financial relation with JSB Orthotics Lab
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MEETING NOTICES - PART 2
Shining the Light on Wound Care: A Multidisciplinary Wound Care Symposium
April 27-29, 2014 - 20.4 CPME Credits
Long Island Marriott Hotel and Conference Center 101 James Doolittle Blvd. Uniondale, NY 11553
Keynote Speaker: Congresswoman Carolyn McCarthy
Visiting Professor: David G. Armstrong, DPM, MD, PhD
A CME Conference designated for Physicians, Podiatrists, Nurse Practitioners, Nurses, Physical Therapists, Dietitians and Certified Diabetic Educators REGISTER NOW!
PROGRAM DETAILS: For information, go to www.northshorelij.edu/cme
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| CLASSIFIED ADS |
POSITION AVAILABLE - MULTI-SPECIALTY GROUP IN LOS ANGELES
Position available: multi-speciality group in Los Angeles looking for a graduate of a PMSR/RRA program to join the group and the residency training faculty. Must be well trained in limb preservation, trauma, and reconstructive foot and ankle surgery. Starting guaranteed base salary of $130,000/ yr with incentives and benefits. Send CV with three references to podiatricri@yahoo.com attention Stan Mathis, DPM
ASSOCIATE POSITION - NORTH OF BOSTON
Looking for podiatry associate hard working with a busy schedule. 4 office locations with all the amenities. EMR, nerve treatments for neuropathy, vascular testing the works. Big focus on sports medicine, wound care and surgery. Lots more but would like to discuss with the right candidate. Mitchellwachtel@ yahoo.com
ASSOCIATE POSITION - HOUSTON, TX
Twenty-year-old Houston area practice with three offices and two doctors seeks to replace one physician moving out-of-state. Applicants should be board certified/board eligible, competent in all aspects of podiatric medicine and ready to take on immediately busy schedule including surgery, wound care and hospital medicine. Practice uses state-of-the-art EMR, digital x-rays, in-house physical therapy, vascular studies and shockwave treatment. Excellent salary, benefits. Send CV to houstonfootdr@yahoo.com.
ASSOCIATE POSITION – NEW YORK
Great opportunity to share space with Board Certified podiatrist in mid-town Manhattan and White Plains “state-of-the-art” offices. On premises Joint Commission certified OR and "cutting edge" equipment. Out-of-network providers preferred but participating providers welcome. Please call 212-704-4310 for additional information or fax your CV to 212-704-4311 or email to ifanelli.hms@verizon.net.
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. 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.
ASSOCIATE POSITION - FINGER LAKES, NY
Established busy practice seeking full-time associate. All facets of podiatry including office, hospital and surgery center privileges. Very competitive and generous salary/benefit package. Live, work and play in scenic Fingers Lakes region of NY. One of the top public school systems. Please e-mail CV and 2 letters of recommendation to docmerk@mac.com
ASSOCIATE POSITION - LOUISVILLE, KENTUCKY
Immediate position leading to imminent partnership/ownership. Single location multi-physician group. Senior doctor has run the practice 32 years. Large balanced patient base, large diabetic population and diabetic shoe store. Office has great location, EMR, digital x-ray, PADnet. Surgical and admitting privileges with 2 local residencies. samuel10530@yahoo.com
ASSOCIATE POSITION - CENTRAL FLORIDA
Associate wanted for well-established practice in central Florida. Multi Physician Practice – Multi Practice Locations Competitive Salary and Benefits. Experienced support staff. Excellent opportunity for a promising future. To apply please go to www.yourcareerinpodiatry.com
ASSOCIATE POSITION – SW FLORIDA
Immediate position available in SW Florida. Podiatrist to join a small group. Must be Florida licensed, surgical privileges pending experience. Board Certification or Qualified preferred but not necessary. Some nursing home care and limited travel. Excellent pay and lifestyle. Send CV to:1foot.ankle@GMail.com
FELLOWSHIP – DIABETIC FOOT (COLORADO)
The Eastern Colorado Health Care System – VA Medical Center in Denver is accepting applications for our Podiatric Wound Care and Diabetic Foot Research Fellowship. The annual stipend is $52,684 + benefits. For details follow the link below, selecting the fellowship tab. http://vadenver.net/
PRACTICE FOR SALE - GLENDALE CALIFORNIA
Unique practice specializing in Cryoneuroablation and fluid silicone implants. 818-241-4781.
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 - BANGOR, MAINE
After 30 years of full service podiatric practice in the same high visibility office, I am looking to fully retire by summer’s end. The practice has been very rewarding financially and patients are wonderful. I am asking a minimal amount for all equipment, supplies, good will, etc. An ideal opportunity to walk into an active and rewarding practice. Two podiatric friendly hospitals nearby as are recreational opportunities. mainefootdoc@yahoo.com
FULLY EQUIPPED PODIATRY OFFICE FOR SALE - DES PLAINS IL AREA
With Real Estate. Complete turn-key facility include four exam rooms, X-ray room, office, podiatry chairs, reception area with furniture. Large reception area, low real estate taxes. Please Call Al Kantner at 847-293-2932 for more info.
PRACTICE FOR SALE – HOWARD BEACH, NEW YORK
Busy, well established, fully equipped, newly redecorated office in good neighborhood. Doctor relocating. Contact dfoot35@gmail.com
PRACTICE FOR SALE - BETHLEHEM, PA
Must sell. Established over 30 years; 2 days week; 30-35 pts/week; c&c ortho, soft tissue surg. 4 facilities. Gross $250,000. Good opportunity for graduate with no residency as Pa not required. Asking $70,000. Contact podoro123@gmail.com
PM News Classified Ads Reach over 15,500 DPMs and Students
Whether you have used equipment to sell or are offering an associate position, PM News classified ads are the fastest, most-effective way of reaching over 15,500 DPMs. for details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at (800) 284-5451
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| Disclaimers |
Acceptance and publication by this newsletter of an advertisement, news story, or letter does not imply endorsement or approval by Barry Block or Kane Communications of the company, product, content or ideas expressed in this newsletter. Podiatric Medical News does not represent the views, and is a separate entity from Podiatry Management® Magazine and Podiatry Management® Online. Any information pertaining to legal matters should not be considered to be legal advice, which can only be obtained via individual consultation with an attorney. Information about Medicare billing should be confirmed with your State CAC.
THIS MESSAGE IS INTENDED ONLY FOR THE USE OF THE INDIVIDUAL OR
ENTITY TO WHICH IT IS ADDRESSED AND MAY CONTAIN INFORMATION THAT IS
PRIVILEGED, CONFIDENTIAL AND EXEMPT FROM DISCLOSURE.
If the reader of this message is not the intended recipient or an
employee or agent responsible for delivering the message to the
intended recipient, you are hereby notified that any dissemination,
distribution, or copying of this communication is strictly
prohibited. If you have received this communication in error, please
immediately notify me and you are hereby instructed to delete all
electronic copies and destroy all printed copies.
DISCLAIMER: Internet communications cannot be guaranteed to be
either timely or free of viruses.
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