|
|
|
|
|
PMNews
Browse PMNews Issues
Previous Issue | Next Issue
| PM News | |
The Voice of Podiatrists
Serving Over 13,500 Podiatrists Daily
May 02, 2012 #4,451  Publisher-Barry Block, DPM, JD
A service of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2012- No part of PM News can be reproduced without the
express written permission of Kane Communications, Inc.
|
| PODIATRISTS IN THE NEWS | |
High Heel Wearers Don't Question Resulting Foot Pain: OH Podiatrist
Stiletto-enthusiasts say foot pain is the price you pay for the confidence that comes with wearing high heels. Many women who wear heels every day develop tight Achilles tendons, which can cause back pain and make it more difficult for them to walk barefoot or in flat shoes. A recent survey by the American Podiatric Medical Association found that 53 percent of women experience foot pain.
 |
|
Dr. Lori DeBlasi |
“It’s hard to think, in general, that people are so accepting of pain that they don’t question it. Foot pain is not normal,” said Dr. Lori DeBlasi, a Columbus podiatrist who works at Specialized Orthopaedics & Sports Medicine. DeBlasi said she cringes when she walks through department stores and sees all of the high heels on display.
Source: Quan Truong, The Columbus Dispatch [4/29/12]
|
|
|
| INTERNATIONAL PODIATRISTS IN THE NEWS | |
Thongs May Actually be Good for Your Feet: Aussie Podiatrist
Fear not young thong-wearers. Australia's iconic sandal may not be as bad for development as previously thought. Podiatrist Angus Chard, from the University of Sydney's Footwear Research Department, has found that walking in thongs is similar to walking barefoot, which some experts say is the healthiest option for growing feet.
 |
|
Angus Chard |
"One of two things is likely to happen as a result of wearing thongs: one is that your feet may become stronger, and two is that your feet may suffer muscle overuse if worn too long," he says. Angus, who has twenty years of experience working in the field, presented his findings at the International Foot and Ankle Biomechanics conference in Sydney earlier this month. "They are preliminary but solid findings," he says.
Source: Jessica Passanatti, Australian Geographic [4/27/12]
|
|
| PODIATRISTS IN THE COMMUNITY | |
WI Podiatrist Became Interested in Podiatry While Running a Marathon
Dr. Amy Jaeger became interested in podiatry after meeting a podiatrist while running in a marathon. She later job-shadowed a podiatrist in her hometown of Stevens Point and was hooked. "I'm most passionate about diabetic foot care because my father had type-1 diabetes," Yaeger said. "I also enjoy sports, especially long-distance running, and helping runners with foot problems."
 |
|
Dr. Amy Jaeger |
Jaeger earned her medical degree and a master's degree in healthcare administration from Des Moines University Osteopathic Medical Center in Iowa. She then completed a residency in podiatric surgery at Broadlawns Medical Center in Des Moines.
Source: Krista Popowich, Marshfield News-Herald [4/29/12]
|
|
| MEDICAL ECONOMICS | |
Prices for Doctor Services Lag Behind Inflation
Physicians have long felt that the cost of running a practice is growing more quickly than payment received per service. New government data indicate that this is more than a feeling. The Consumer Price Index for all items went up 0.3% in March and 2.7% in the previous 12 months, according to Bureau of Labor Statistics data released April 13. Prices paid for physician care, which includes the amount from an insurer as well as the patient portion for a single service, went up 0.2% for the month and 1.3% during the past year.
The Medical Group Management Assn. said practice revenues increased 45% between 2001 and 2010, but costs went up 53% even though practices cut costs by 2.2% in 2010, mostly through less spending on drugs and furniture. In the 1980s and 1990s, the physician services rate was well above inflation, but that gap began narrowing significantly in 2001.
Source: Victoria Stagg Elliott, AMNews [4/30/12]
|
|
| PRACTICE MANAGEMENT TIP OF THE DAY | |
Send and Interpret Signals Through Body Language
Communicate more effectively by learning to use and read body language. Apply these lessons in your daily interactions:
-
Remove barriers. Project confidence and encourage collaboration by moving any physical barriers between you and another person. Even how you hold your coffee mug in front of you can signal insecurity and block communication with others.
-
Connect physically. A handshake doubles the likelihood that someone will remember you, according to research at trade shows. The researchers also found that people who shook hands created positive and friendly impressions on others.
-
Draw out thoughts. Gesturing with your hands also activates a section of your brain that produces speech. The result: Moving your hands can lead you to speaking in a clearer, more concise manner.
-
Check the feet. Although people may practice controlling their body language, their feet often will reveal when they are tense. Look for fidgeting, winding the foot around the chair leg or a kicking motion.
-
Open your memory. To retain more information, uncross your arms and legs. People who had open positions boosted their retention of information from a lecture by more than a third compared to people who folded their arms and crossed their legs.
Source: Adapted from “10 Powerful Body Language Tips for the New Year,” Carol Kinsey Goman, Moving Ahead newsletter via Communication Brieifings
|
|
| QUERIES (NON-CLINICAL) | |
Query: Don Joy Velocity Brace
We have been trying to validate that the Don Joy Velocity brace has been certified by PDAC, however we are getting the runaround: our vendor tells us to contact Don Joy and Don Joy has not responded to our inquiries. Does anyone have PDAC verification that these are covered?
Howard J. Bonenberger, DPM, Nashua, NH
|
|
| CODINGLINE CORNER | |
Query: Capsulotomy Plus Flexor Plate Release
When billing for a CPT 28270 (capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint [separate procedure]), is there a code that can be billed for the flexor plate release? Or is this included in the CPT 28270?
Brian Robinson, Office of Thomas Vail, DPM, Finley, OH
Response: There is no code for a flexor plate release. In fact, I'm not exactly sure what you meant by a flexor plate release beyond the capsular release/incision. How was the plantar plate independently released?
Typically, CPT 28270 implies any and all release of capsule contractures, adhesions/scarring, and other tightness leading to stiffness or soft tissue-generated deformities. If there were influencing factors in these issues resulting from a tight plantar plate (?), the release, I would think would be included in the allowance for the metatarsal-phalangeal joint capsulotomy procedure.
Tony Poggio, DPM, Alameda, CA
Codingline subscription information can be found here
APMA Members: Click here for your free Codingline Silver subscription
|
|
| RESPONSES / COMMENTS (CLINICAL) - PART 1 | |
RE: Botox or Iontophoresis for Hyperhydrosis (Mostafa Niknafs, DPM)
From: Bret Ribotsky, DPM
I enjoyed Dr. Niknafs' article. I have modified his technique often and have found a PT block a constant addition to his protocol that all should consider. I suggest that anyone considering using this technique obtain some training PRIOR to trying this. If there is no DPM in your area utilizing this technique, ask a local dermatologist to assist you. I am working with a few DPMs to develop a training program in aesthetics, so training is on the way.
Bret Ribotsky, DPM, Boca Raton, FL, ribotsky@gmail.com
|
|
| RESPONSES / COMMENTS (CLINICAL) - PART 2 | |
From: Barry Mullen, DPM
Malingering is always a possibility with Workers' Comp cases. However, I tend to err on giving patients the benefit of the doubt. That said, exactly what do we know about this case?
a) documented foot crush injury (I'm curious how heavy the buggy is and when injury occurred relative to your exam?);
b) subjective pain complaint is described with neuritic descriptors, AND out of proportion to physical signs;
c) patient refuses to move digital extensors = classic...
Editor's note: Dr. Mullen's extended-length letter can be read here.
|
|
| RESPONSES / COMMENTS (CLINICAL) - PART 3 | |
From: Robert Bijak, DPM, Dennis Shavelson, DPM
I didn't see that this study compared "custom" orthotics to OTCs, only orthoses or nothing. Until OTCs are included, the study is, in my opinion, not valid in proving a statistical difference between over-the-counter arch supports and the so called "prescription" ones, so proof of the need for "prescription" ones is not proven. Does Dr. Kirby's use of the generic term "foot orthosis" really mean OTC?
There are 100+ articles in the literature like the one Kevin points to evidencing that foot orthotics work. What is lacking in the EBM is HOW orthotics work and when relating to podiatry, how the intervention of a foot specialist can produce better outcomes using a custom orthotic and custom plan for biomechanical care than a ski shop, shoe store, or a pharmacy scanner.
In labeling his posting "recent", he chose an article published in Sept 2011. The study shows that orthotics reduce knee pain and not pedal complaints. It used pre-fabricated and not custom orthotics vs. no treatment. It lasted for six weeks when logically, custom orthotics may surface as best in a more longitudinal study. My point is that just because a peer-reviewed article places orthotics in a good light, it does not mean that it is pro-custom orthotic or pro-DPM. Therefore, I’m not sure of the significance, applicability and value of this study. Perhaps Dr. Kirby can explain?
Dennis Shavelson, DPM, NY, NY, drsha@lifestyelpodiatry.com
|
|
| RESPONSES / COMMENTS (NON-CLINICAL) | |
From: Lawrence M. Rubin, DPM
Dr. Bijak says that grinding toenails is an "anachronistic chiropodal technique." If it is, so is his use of 40%-60% urea dressings. That method of removing either part or the entire diseased area(s) of mycotic nails was taught to sophomore students when I was a clinical instructor in the very early 1960s at the then Illinois College of Chiropody and Foot Surgery (Now the Dr. William M. Scholl College of Podiatric Medicine at Rosalind Franklin University).
Occlusive dressings of 40% urea in petrolatum spread directly over the nail and left on for about 4-5 days was, and still is, a painless and effective way of separating diseased mycotic areas of nail from the nail bed. Normal nail remains, and the diseased nail can easily be removed with nail cutting forceps. I’m glad Dr. Bijak mentioned the method. Sometimes, it's good to look back at the way things used to be done. Some of those chiropodal anachronisms aren't too bad.
Lawrence M. Rubin, DPM, Las Vegas, NV, lrubin@leapalliance.org
|
MEETING NOTICES - PART 1
|
|
|
| RESPONSES / COMMENTS (OBITUARIES) | |
RE: The Passing of Dr. Lawrence Mandel
From: Steve Berlin, DPM
It was with great sadness to hear of the passing of Larry Mandel. He was a resident of the Maryland Podiatry Residency program. I had worked and helped to train him during his years here in Baltimore. He was a bright and energetic individual who went on to Kansas to practice podiatry. There, he also began to teach and lift up the practice of podiatric medicine. It was an honor to know him over the years. Certainly, he will be greatly missed by his lovely family and friends. His memory will always be around.
Steve Berlin, DPM, Baltimore, MD
|
|
| CLASSIFIED ADS | |
PRACTICE FOR SALE - AUSTIN TEXAS
Great opportunity for new practitioner or an additional office. 18 year practice with large patient base. Current physician transitioning to part time then retiring to pursue another business opportunity. Start turn-key without need for a bank loan. Great area to live and work. Susieintx@aol.com (512) 565-6634
ASSOCIATE POSITION - TENNESSEE/NORTH GEORGIA
Multi-physician, Multi-office practice looking for motivated new associate leading to partnership. We are a busy practice with state of the art technology: EHR, Digital X-ray, Diagnostic Ultrasound, PADnet, EPAT machine. Applicant should be PMS 36/Board Qualified/Certified. Applicant should be ethical, personable, hard working and interested in providing all aspects of podiatric care to our patients. Competitive Salary and benefits. All interested candidates please send a CV with two letters of reference to: mybestnewjob@gmail.com
ASSOCIATE POSITIONS – MARYLAND
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 c.v. todrhprosen@verizon.net or fax to 410-486-2049 or call Dr. Herbert Rosen at 410-580-0255.
ASSOCIATE POSITIONS - MULTIPLE STATES
Podiatrist Needed in Arkansas, Kansas, Missouri, Nebraska, Iowa, Minnesota, North Dakota, South Dakota, Texas, Colorado, Wisconsin, and Oklahoma. Expanding multi-state medical practice seeking podiatrists to service long-term care community residing in nursing homes and assisted living facilities. We offer an established patient base, scheduling, equipment allowance and cover travel expenses. Provide generous compensation, bonus opportunities, disability, health insurance benefits, malpractice coverage and flexible scheduling. Looking for a Podiatrist with excellent skills, able to provide expert and compassionate care to patients. Email CV to: careers@aggeus.org or call 773-770-0140 x300/x305. www.aggeus.org
ASSOCIATE POSITION - KANSAS CITY, MISSOURI
Kansas City may be the perfect move for you and your family. I am looking for an entrepreneurial minded associate who wants to grow and then own part of an already successful practice. If you are the right candidate for this associate position, you will enjoy a competitive compensation package and you will be working with a doctor who is as committed to your success as he is to his own. Go to: www.YourFutureInPodiatry.com for full details.
ASSOCIATE POSITION - NEW YORK
Full-time position available immediately in Capital District multiple doctor practice. Good salary with percentage. All phases of podiatry. NYS license required. Email resume to Lchittenden68@gmail.com or call Lori at 518-577-6171
ASSOCIATE POSITION - MANHATTAN
Podiatrist needed for busy state-of-the-art offices in Manhattan. Offices are located near Penn and Grand Central Station. 10+ years experience only and an out-of-network doctor for most insurances. Please forward your information and CV to: roni@myfcny.com
ASSOCIATE POSITION - SENIOR CARE DIVISION - ATLANTA, GEORGIA
Village Podiatry Centers, LLC: Immediate openings for physicians who are interested in caring for the elderly in nursing homes throughout Georgia. Full time position. Excellent salary, benefits, and opportunity for growth. Must understand the coding/billing process and have excellent documentation skills. You don't have to be board certified in foot or ankle surgery for this position. If interested, please contact Dr. Helfman at dhelfman@vpcenters.com
ASSOCIATE POSITION - ATLANTA, GEORGIA AND SURROUNDING COUNTIES
Village Podiatry Centers, LLC: Immediate openings for board eligible or certified, 3-4 year trained surgical physicians. Equity based model, Excellent salary and benefits to start depending on qualifications. (Average physician salary is 2-3 times industry median salary).Full benefits included. Access to practice owned surgery centers, pathology lab, imaging center(s), and other in house ancillaries. Very selective process: must be flexible, well trained, and must participate in our "Physician Training Program." You live off income and retire off wealth! Serious inquiries only! E-mail: David N. Helfman, DPM, FACFAS at dhelfman@vpcenters.com
PHYSICIAN FOR CLINICAL RESEARCH DIVISION - ATLANTA, GEORGIA
Village Podiatry Centers, LLC: If you have experience in running clinical research trials and would like a full time position in managing and overseeing multiple clinical research trials for our growing group, please contact Dr. Helfman @ dhelfman@vpcenters.com. Excellent salary, benefits and equity opportunity for the right individual.
ASSOCIATION POSITION - FLORIDA
Progressive practice with 4 locations and 5 Board Certified Physicians in Tampa Bay. Looking for a PSR 36 trained candidate to join our group. Practice areas include reconstructive foot and ankle surgery, trauma, wound care, limb salvage, biomechanics, sports medicine and diabetic care. Hospital based training a necessity. If you are a hard working, motivated and fun loving person, come and enjoy our profession with us. Benefits and partnership are available. Send CV to: countrysidefoot@yahoo.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 516 476-1815 PODO2345@AOL.COM
PM News Classified Ads Reach over 13,500 DPM's 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 13,500 DPM's. 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.
|
| 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.
| | Guidelines |
- To Post a message, send it to: bblock@podiatrym.com
- Notes should be original and may not be submitted to
other publications or listservs without our express written
permission.
- Notes must be in the following form:
RE: (Topic)
From: (your name, DPM)
Body of letter. Be concise. Limit to 250 words or less). Use
Spellchecker
Your name, DPM City/State
- Subscribers are reminded that they have an ethical obligation to disclose any potential conflicts of interest when commenting on any product, procedure, or service.
| |
|
Browse PMNews Issues
Previous Issue | Next Issue
|
| |
|
|
|
