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| PM News | |
The Voice of Podiatrists
Serving Over 18,475 Subscribers Daily
April 30, 2019 #6,407  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2019- No part of PM News can be reproduced without the
written permission of Barry Block
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| PM NEWS QUICK POLL |
Quick Poll
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Do you rely on a Gram's stain to guide antibiotic therapy?
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| PODIATRISTS IN THE COMMUNITY - PART 1 | |
MA Podiatrist Raises Money for Cancer Charity After His Own Fight
Neil Feldman, DPM keeps churning out those miles; that hasn’t changed. He maintains his thriving podiatry practice in Worcester. His Ironman triathlons are of the past — his seventh and last was at the World Ironman Championships in October 2008 in Hawaii. He did just complete his 12th Boston Marathon, again in a qualifying time to earn another starting spot in Hopkinton. The 48-year-old Feldman did so while representing the 15-40 Connection, raising funds and awareness of the improving cancer survival rates through the power of early detection, while sharing his own recent story.
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Dr. Neil Feldman |
Just over a year ago, Feldman's wife Audrey discovered a small discoloring behind Neil’s right earlobe. It turned out to be a melanoma, which was successfully removed. “I’ve got to keep getting checked,” he said. “If I had waited, who knows? All the what ifs ... if you don’t check, you don’t know.” Feldman acknowledges his exposure to some strong sunlight during his competitions over the years could have contributed to the melanoma.
Source: John Conceison, telegram.com [4/27/19]
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| PODIATRISTS IN THE COMMUNITY - PART 2 | |
TX Podiatrist Honored as Alum of the Year
Southwestern Adventist University has named Brian Sicher, DPM (Class of 1984), a podiatrist from Amarillo, as Alum of the Year. Despite his busy practice, he finds time each year to participate in surgical mission trips to Guatemala and Mexico.
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Dr. Brian Sicher |
Dr. Sicher received his medical education at the University of Osteopathic Medicine in Iowa and his post-graduate residency and podiatric surgical residency at John Peter Smith Hospital in Texas. He is board certified by the American Board of Foot and Ankle Surgery.
Source: Ken Shaw, Cleburn Times Review [4/28/19]
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| RELEVANT RESEARCH | |
Lateral Wall Osteotomy with Biodegradable Implant May Improve Calcaneal Fracture Outcomes
Patients with displaced intra-articular calcaneal fractures experienced improved radiological parameters and functional outcomes after lateral wall osteotomy combined with an embedded biodegradable implant, according to results published in Journal of Orthopaedic Surgery and Research. From May 2013 to December 2015, researchers performed lateral wall osteotomies combined with embedded biodegradable implants (FreedomPlate, Inion) in 17 patients with 19 calcaneal fractures.
According to the researchers, a lateral wall osteotomy combined with an embedded biodegradable implant is advantageous in its primary wound-healing tendencies, complete visualization of fractured fragments, posterolateral subtalar joint facet and calcaneocuboid joint facet, no requirement for secondary operation for implant removal, and less stress-shielding of the calcaneus. “Its main disadvantage is that it has less fixation strength of biodegradable implants leading to delayed weight-bearing rehabilitation, which may result in poor clinical outcomes,” the authors wrote.
Source: Yang Y, et al. J Orthop Surg Res via Casey Tingle, Healio.com [4/24/19]
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| PRACTICE MANAGEMENT TIP OF THE DAY | |
Is it Time to Reform Your Forms? - Part 1
Exchanging health information is a two-way street. On one side, physicians aim to gather pertinent information from patients. On the other side, patients are looking for clear direction from practitioners. If you haven’t revised the documents you share with patients for a while, perhaps now is the time to review and update them. Here are a few suggestions to help you get started.
1. Patient intake forms -The intake form is usually the first touchpoint patients have with your practice. Whether completed in person, online, through an app, or over the phone, it’s vital to keep this document simultaneously simple and comprehensive. It’s helpful to include details about your booking and cancellation policies, hours of operation, and contact information on the patient intake form. It can also be advantageous to allow room for patients to write down any questions they have about you, your staff, and your practice.
Source: Sue Jacques, Physicians Practice [4/24/19]
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| CODINGLINE CORNER |
Query: Modifiers for Bilateral Procedures
If I am preforming a bilateral, total nail avulsion and matrixectomy, which modifiers should I use? I am looking at the -50 (bilateral procedure) or the -59 (distinct procedural service). What is the current thought on these modifiers for bilateral cases and is it insurance dependent?
Archived Codingline Question
Response: This is not insurance dependent.
CPT 11750 does not have a bilateral indicator, therefore I suggest coding this on two lines as:
CPT 11750 – T__
CPT 11750 – T__ 59mod
Consider the XS modifier instead of -59 if this is a Medicare Part B patient or if it is a payer that is recognizing the X modifiers.
Jeffrey D Lehrman, DPM, CPC, Fort Collins, CO
For information on Codingline subscriptions, click here
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| RESPONSES/COMMENTS (CLINICAL) - PART 1A | |
From: Jeanny Rickards, DPM
Based on your clinical and MRI findings, and that it's reducible, try considering EHL lengthening at the dorsal 1st MTPJ (could be done percutaneous like TAL), open plantar approach repairing the FHB and potentially FHL if seen attenuated intra-op. As for the sesamoids, depending on the fracture fragment, if it's small, remove it, but if it is relatively large, try using injectable stem cells with direct visualization and/or under fluoroscope (given they are similar to the white-white three zone of the menisci of the knee). Lastly, graft augmentation can be used plantar to the sesamoid apparatus cushioning the area like internal off-loading and suturing of plantar capsule to it as part of the repair.
Hopefully, the EHL lengthening will also fix the IPJ contracture. If soft tissue repairs fail, you can always do bone work as a salvage procedure. The 1st MTP joint space on your lateral x-ray appears to be in relatively good shape. If violating joint space could be spared, and the soft tissue surgery worked, that would preserve the joint from arthritis a tad longer. NWB for 4 weeks and passive ROM at 3 weeks are indicated.
Jeanny Rickards, DPM, Corpus Christi, TX
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| RESPONSES/COMMENTS (CLINICAL) - PART 1B | |
From: Arnold Ross, DPM, Duane Brann, DPM
The first MPJ fracture sure looks like the IP joint.
Arnold Ross, DPM, Los Angeles, CA
DO NOT operate on this patient at this time! Based on your assessment and the x-ray posted, the options you’re considering are totally inappropriate at this time. Your proposed intervention will no doubt cause more harm than benefit. Treat the patient symptomatically with relative rest, weight-bearing as tolerated, CAM boot, ice, NSAIDs, etc., with the aim of returning the patient to regular activities over 4-6 weeks as symptoms require. If residual symptoms prevent return to pain-free, pre-injury status, operative intervention may be necessary down the road.
Duane Brann, DPM, Orland Park, IL
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| RESPONSES/COMMENTS (NON-CLINICAL) | |
RE: Paying it Forward
From: Andrew Hu
A few students and I have started a club at CSPM called the Podiatric Education Society. Our goal with this club is to bring awareness of podiatric medicine and surgery to pre-medical students in the Bay Area. We have done many outreach events, having visited many universities and a few high schools as well. We are grateful to have the opportunity to speak with many students and share our stories and explain why we chose podiatric medicine.
We hope that one day we can continue this legacy and pay it forward by contributing to this great profession just like those who have done so, and are still doing so.
Andrew Hu, CPMA Representative, Class of 2021
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Photo of the Day
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Is this what Mrs. Malaprops meant? |
Source: Submitted by Dr. Joseph Borreggine
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MEETING NOTICES
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| CLASSIFIED ADS - ASSOCIATE POSITIONS AND FELLOWSHIPS |
ASSOCIATE POSITION - MASSACHUSETTS
Well-established, very busy, hospital-based practice located just north of Boston seeking full-time DPM. Applicant must be ABFAS Board Qualified/Certified, comfortable with rearfoot surgery and have interest in wound care. We are well integrated within the medical community and are active in both hospital in-patient care and out-patient clinic. Excellent referral base and high volume of new patients. Competitive compensation and benefits package. Excellent opportunity for qualified candidate.
ASSOCIATE POSITION – PENNSYLVANIA
Independent Podiatry Group Practice looking for a full-time and / or part-time associate. Foot and ankle surgery, hospital rounds, wound care and general foot care. Comprehensive benefit package and opportunity for future partnership. Please send resume to debra8@zoominternet.net
ASSOCIATE POSITION – HOUSTON, TX
Established Houston practice seeking motivated, hard-working recent graduate for associate position in all aspects of podiatry. Long-term plan includes partnership. Send CV to dpm2docs@gmail.com.
ASSOCIATE POSITION - MARYLAND
Looking for motivated, hard-working podiatrist preferably with 2+ years of work experience in private practice. Excellent opportunity to become a partner, leading to full ownership of practice. Practice is well established and well respected. Qualifications of ideal candidate are a 3 year surgical residency, good people and clinical skills including good diagnostic ability, wound care, diabetic foot care and surgery. Independent thinker and hard worker with ethical philosophy. Inquires kept confidential. Reply to: jobavailable36@gmail.com
ASSOCIATE POSITION - VICTORIA, B.C. CANADA
Associate wanted in Beautiful Victoria, B.C. Canada 2 year residency minimum. Will help with immigration Email orthotic4d@shaw.ca
ASSOCIATE POSITION - RICHARDSON, TEXAS
Position available with future opportunity for buy-in/buy-out relationship in a forty year old established practice . Looking for a motivated , ethical associate with excellent surgical and communication skills. Excellent location in Richardson , Texas - a suburb of Dallas ranked #9 in the Top 100 Cities for Raising a Family. Will wait until July/August for the right candidate. grfootdoc@gmail.com
ASSOCIATE POSITION – CENTRAL CALIFORNIA
Actively seeking a professional full-time associate podiatric surgeon to join our cutting-edge, well-established and respected team on the Central Coast of California. We are looking for a well-rounded individual to perform all aspects of podiatric medicine and surgery. Candidate must have excellent diagnostic and interpersonal skills. We offer a competitive compensation package. Applicants must submit a CV and cover letter in .pdf format. Professional references must be provided at the time of submission. Please submit to: heather@ccfaas.com
ASSOCIATE POSITION - LONG ISLAND/QUEENS
Advanced Podiatry Seeking Full Time DPM for upscale practices located at the Americana Manhasset, Huntington and Queens. Excellent work environment and company culture. Latest technology with digital x-ray, laser, EHR, Ultrasound, the latest Apple software and iPads. Must be surgically trained, motivated, with a great work ethic. Very competitive salary with significant upside. Visit www.LIFootCare.com and email eavieiradpm@gmail.com for more info.
ASSOCIATE POSITION - SOUTHWEST FL
Seeking associate for busy foot/ankle practice. ABFAS cert or qual. Great interpersonal skills and willing to work as a team, follow company protocols and systems. Office fully EMR, digital x-rays, Ultrasound, DME. Base salary, bonus, health, 401K, etc. Email: DrLam@naplespodiatrist.com
ASSOCIATE POSITION – WISCONSIN
Established solo female practitioner seeking a well-rounded associate to provide all aspects of foot and ankle care. Candidate must be friendly, motivated, and dedicated to growing the practice. Competitive compensation with 401K, health insurance, malpractice, vacation, etc. Large referral base in a rapidly growing area. Please send inquiries to: drjulie@greenvillefac.com
ASSOCIATE POSITION - TEXAS, OKLAHOMA CITY, MADISON, WI
If your passion is to enhance people's independence and quality of life through helping them improve their mobility, then a career as a Preferred Podiatry Group podiatrist could be for you. Flexibility, autonomy, resources - they're all yours! Oh, and did we mention that there's very high earning potential based on patient volume? Please send an email to recruiting@PPGpc.com if you're interested in learning more about PPG podiatric care for residents in long-term care homes.
ASSOCIATE PODIATRIST WANTED – CALIFORNIA/SF EAST BAY
Join our growing multi-office practice, immediate opening. Must have great people skills, bedside manner, and positive demeanor. Must work well with staff and local medical community. Prefer private practice experience. California license required. Full or Part Time. Send CV and cover letter to: ebpod2008@gmail.com.
PODIATRIST POSITION – SOUTH CAROLINA
Work and live in one of the greatest states for outdoor fun and recreation. Centrally located 2 hours from the mountains and the ocean, well established practice of 21 years seeking an associate for its rapidly growing and expanding office. Must be board qualified/certified by ABFAS. Looking for someone with great people skills who is dedicated to putting in the effort to grow the practice. No traveling, no nursing homes. You must have SC podiatry license and next test date is June 1. Please send cover letter and CV to docdan@earthlink.net
ASSOCIATE POSITION – FLORIDA
Partnership potential with an established (30 year) solo practice looking for recent residency graduate or experienced practitioner with 2-3 years surgical residency training. Clinical skills must include wound care, diabetic foot care, surgery. Modern office with EPAT/ LASER/ EMR. Competitive benefit package. EMAIL JAZ1616@BELLSOUTH.NET.
PODIATRIC POSITION – NEW MEXICO
Podiatric practice located in Albuquerque, New Mexico is seeking a Podiatrist BE/BC in foot and RRA to join our practice. The ideal candidate is Spanish-speaking. Once-monthly hospital call will be required. Weekly travel to a rural outside clinic required. Competitive compensation with retirement, health insurance, malpractice, etc. Email jrossfootankle@gmail.com
PM NEWS CLASSIFIED ADS REACH OVER 18,000 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 18,000 subscribers. For details, click here or write to: bblock@prodigy.net or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at davidekagan@gmail.com or call (215) 808-0770
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| CLASSIFIED ADS - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
PRACTICE FOR SALE - CALIFORNIA - SAN FRANCISCO - EAST BAY
Energetic practice with completely updated technology and ready-made patient base. Owner looking to relocate out of state. Full service practice with ancillary services. Practice operated on a parttime basis. Priced to sell. Contact MCrosby518@gmail.com
PRACTICE FOR SALE - EAST CENTRAL ILLINOIS
30 year established surgical practice in rural East Central Illinois. Re-locating. Turn-key operation with 3 treatment rooms and surgical suite. Certified EHR. Generates $450K, price reduced to $250K (includes real estate). Call 217-549-1887 or email drjoe@myfeethurt.net.
PRACTICE FOR SALE - LOS ANGELES - SUBURB
Dynamic and long standing, busy 5 Star practice for sale in an updated medical building in the San Fernando Valley. Strong referral base. Seller retiring. Active participation in managed care.Priced to sell. Contact: MCrosby518@gmail.com.
PM NEWS CLASSIFIED ADS REACH OVER 18,000 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 18,000 subscribers. For details, click here or write to: bblock@prodigy.net or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at davidekagan@gmail.com or call (215) 808-0770.
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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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