The Voice of Podiatrists

Serving Over 11,000 Podiatrists Daily

April 28, 2009 #3,531 Publisher-Barry Block, DPM, JD

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PA Podiatrist Discusses Ways to Reduce Heel Pain

Local residents may be relacing their walking or running shoes now that the weather has warmed. But with the fresh air and exercise could come heel pain, according to Manor Township podiatrist John Marty. "Heel pain is the most common foot problem in my practice," Marty said in a press release.

Dr. John Marty

With an abundance of places to walk in the area, Marty said walkers should stretch their feet, buy new shoes and start out slowly before building up endurance. Walking on concrete surfaces can affect foot health, too, he said. "It's an overuse injury," he said. "I see it a ton this time of year."

"Wearing shoes that fit well, wearing the proper shoes for each activity, not wearing shoes with excessive or uneven worn heels or soles and stretching foot and ankle muscles properly before exercising are several main ways to avoid heel pain altogether," Marty said.

Source: Renatta Signorini, Leader Times [4/27/09]
 

Lavery Presents 15th Annual Kaplan Memorial Lecture

One of the highlights of this year’s Great Lakes Conference was the Earl G. Kaplan, DPM Memorial Lecture presented by Lawrence Lavery, DPM. Lavery’s lecture focused on the question, “Does diabetes increase the risk of complications after ankle fractures?”

Dr. Lawrence Lavery presents Earl G. Kaplan Memorial Lecture

Great Lakes attendees were also taken down memory lane through a historical video presentation narrated by Irvin Kanat, DPM, which chronicled the lives and times of Dr. Earl Kaplan, the father of modern podiatric surgery. Kaplan was the first podiatrist inducted in the PM Podiatry Hall of Fame. Two of Kaplan’s three sons (all podiatrists), Randy and Gary were on hand for this emotional tribute.

Next year’s Great Lakes Conference will be held  April 15-18, 2010.

Court Approves Doctors' Suit Over Ranking Program

Doctors in Massachusetts won round one in their legal fight to knock down a ranking program they say has misled patients while besmirching doctors' reputations. On March 30, a trial court green-lighted a lawsuit brought by the Massachusetts Medical Society and five doctors to halt a physician tiering program mandated in 2006 by the Group Insurance Commission, a state agency that oversees health insurance for public employees. Doctors also are suing two health plans participating in the program, called the Clinical Performance Improvement Initiative. It purports to improve quality and restrain costs by grading doctors' performance based on those factors.

Patients get an incentive, through discounted co-payments, to choose so-called better-performing doctors, who are ranked "Tier 1" out of three tiers. But physicians contend that the methodology used to rate them is faulty and has led to serious errors that have forced patients to pay more for their care and unfairly damaged physicians' credibility.

Source: Amy Lynn Sorrell, AMNews [4/27/09]
 

Close Presentations Strong

Don’t wrap up a strong presentation with a weak and ineffective closing line. A good closing adds power to your presentation. Use the following powerful phrases to segue from your presentation to the close:

•  “I am going to take two minutes to wrap this up.”
•  “I have presented alternatives. Now I would like to tell you my recommendation.”
•  “In conclusion, the most important thing to remember is …”

Source: Adapted from 136 Effective Presentation Tips: Inspire, Inform & Influence Anyone, Anywhere, Anytime, Tony Jeary and David Cottrell, CornerStone Leadership Institute via Communication Briefings

Query: Acroangiodermatitis (Pseudo Kaposi's)  in Compromised Patient

I have a 80 y.o. sedentary IDDM, Hep C, HTN, CAD, chronic kidney dx, antiphospholipid dx, with chronic erosions of the posterior heels, R>L, which hurt upon standing. She has variable LE edema (increases with dependency) especially around the ankles. DP/PT 1/4 B/L. Generally, the skin is subtle, good texture/turgor. The heel has areas of pink to violet, dotted with superficial eschar, nodular, and friable especially the raised nodular areas which are slightly boggy, tender to palpation and bleed upon debridement/abrasion.

Acroangiodermatitis (Pseudo Kaposi's)

Skin biopsy shows "thick walled capillaries proliferate in the superficial dermis, intercellular edema and parakeratosis and epithelial hyperplasia."  Diagnosis: stasis dermatitis, acrosyringeal hyperplasia, all consistent with acroangiodermatitis (pseudo Kaposi's). I have attempted edema control without success (patient doesn't tolerate compressive dressings and is non-compliant to elevation), topical applications of Psorcon E, Cultivate, Lactinol, Amerigel, ABX cream, off-loading, referrals, bedside debridements, etc. without resolution. A suggested course of action would be appreciated.

Stephen Bennett, DPM, NYC, NY
 

Query: On-Line Podiatry Listing Services

I’ve seen advertising for several on-line podiatry listing services, such as podiatrists.com and local podiatry.com. I’d appreciate any comments on the cost-effectiveness of these or other on-line marketing tools.

Frank Graham, DPM, New York, NY

The Amazing Ability of Feet

Jessica Cox, 25, a girl born without arms, stands inside an aircraft. The girl from Tucson, Arizona recently got her Sport Pilot certificate and became the first pilot licensed to fly using only her feet.

Jessica Cox

A bilateral congenital limb deficiency doesn't stop Ms. Cox from achieving and surpassing her goals. From birth on, her feet became her hands. She can drive a car, type 25 words per minute, and fly an airplane using her feet, without any special adaptations.

Source: Submitted by Neil Hecht, DPM
 

ASSOCIATE POSITION – ILLINOIS 
 
Quality Podiatry Group provides quality services to residents at long term care facilities. We are currently offering full-time or part-time positions for motivated ethical podiatrists. Immediate openings available. If interested, fax curriculum vitae to 312 225-9366 or e-mail feetwork@aol.com

EQUIPMENT FOR SALE

MIN-x-ray Mobile system Model PM200R40. Brand new less than 1 year old. never used at all. I was opening a new location that fell through. Completely brand new. paid $11,000 Will sell for $8,500. Located in the Bronx, NY- call 914-714-0667.

ASSOCIATE POSITION - CONNECTICUT

Nice community outside of New Haven. Well-established, busy practice seeking part-time or full-time associate. Excellent opportunity for a highly motivated and ethical professional. Must have good patient skills. PSR-12 or higher with excellent skills required. Send resume and cover letter to fax # 203-439-7916.

ASSOCIATE WANTED - FLORIDA

Associate needed for a dynamic multi-doctor practice in the Tampa Bay area. Partnership opportunity for the right candidate. Preference given to a PSR 24+ resident completing their education this spring/summer, and must have a Florida license. Well-established practice, high tech with EMR and digital x-rays, with specialties in sports medicine, surgery and wound care. No nursing homes or HMO's. Excellent hospital privileges available. Choose an area of practice concentration that you are passionate about and enjoy a lifestyle for yourself and your family that is second to none. E-mail: kimvelez@tampabay.rr.com

OFFICE SPACE/ MRI RENTAL – NYC, LI   
 
Turn-key space available, daily, monthly; East 60th off Park Ave, East 22nd St. off 3rd Ave, and Plainview Long Island. JACHO-certified operating rooms available, as well as all surgical equipment and anesthesia. Extremity MRI Rental. Stark compliant. All exams read by board certified radiologist. Call for details. 516 476-1815

NEEDED CHICAGO -- NW IND & BALTIMORE/WASHINGTON, DC PODIATRISTS

Home Physicians, a medical group specializing in house calls is looking to hire podiatrists in Chicago, Northwest Indiana, and Baltimore, MD. Full and part-time positions are available. Competitive Compensation including malpractice. Contact Scott Schneider. Phone-773-342-4201 FAX 773-486-3548-E-Mail sschneider@homephysicians.com Visit our website

ASSOCIATE POSITION AVAILABLE-MIDTOWN MANHATTAN

Looking for Full-time associate to work in well established practices in midtown Manhattan and Forest Hills. Immediate opening for PSR 24-36 surgically trained Podiatrist. Great opportunity with competitive salary along with malpractice benefits. Please send CV to slurie@papapc.net

EQUIPMENT FOR SALE

Used Acoustic Imaging Diagnostic Ultrasound. Comes with 10 MHZ linear probe. Printer included. Unit is a console on wheels and cannot be shipped, must be picked up. Price includes 3 hours of hands-on and didactic material on podiatric ultrasound. See website www.hurtheel.net for more details. Price: $4,750 Contact Information Henry Slomowitz  E-mail hslomowitz@gmail.com Phone 973-479-6305.

ASSOCIATE POSITION - MIAMI-DADE FLORIDA
 
Partnership w buy out opportunity for the right candidate. Well-established modern practice. EMR, digital x-rays, gait scan, etc. Excellent hospital privilages. SALARY...two options. $40,000 starting, 40% of everything you generate over $120,000. Want a fixed salary instead? $75,000 a year I feed you patients and provide an excellent well-trained staff. Contact doctorinhialeah@aol.com

ASSOCIATE POSITION AVAILABLE GREATER HOUSTON

Looking for full-time associate to work in well established practice with 3 offices in the Houston area. Practice focused on sports medicine, surgery with EMR, Digital X-ray, Musculoskeletal Ultrasound and new office built in 2007. Great opportunity in one of the fastest growing areas in the country that has been least impacted by economic woes. No nursing homes, routine care. Available to start in July/August for PSR 24-36 surgically trained podiatrist, Spanish speaking a plus. Great opportunity with competitive salary along with malpractice benefits. Please send CV and letter of interest to officemanager23@gmail.com

PRACTICE FOR SALE - FLORIDA—CENTRAL/SOUTH

Turn-key operation grossing $570,000 annually based on one full-time doctor. Great opportunity for growing the top-line. Surgery is only 14% of the professional man-hours; it can significantly increase income. Medicare makes up 64% of revenues. Seller will assist with transition. Call 863-688-1725, ask for Chas.

ASSOCIATE POSITION - CHICAGO AREA

Join one of the most successful, long-established podiatry practices in the Chicago area, with excellent salary and benefits. We have an immediate opening for a full-time podiatrist in a multi practice location in Chicago. Must have two years of surgical residency. Please e-mail resume to f-massuda@footexperts.com

   
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