The Voice of Podiatrists

Serving Over 14,000 Podiatrists Daily

May 07, 2013 #4,763 Publisher-Barry Block, DPM, JD

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APHA Podiatric Health Section Charts Decades of Group’s History

As podiatric health deals with foot health, it is only natural that a major part of The American Public Health Association's (APHA) Podiatric Health Section history is a huge traveling foot. The oversized papier-mâché foot, filled with shoes and giveaways, made its way around Washington, D.C.-area schools in the 1970s to teach children about foot health, a push to educate the nation about podiatry documented in a 40-year history written by former Section Chair Arthur Helfand, DPM.

Dr. Arthur Helfand

The history is an update of a historical section previously published in 2006, said Helfand, who served as the Section’s first chair when it officially formed in 1972 at the APHA Annual Meeting. "It’s a wonderful thing to see this Section survive and, hopefully, it will survive to 50,” Helfand told The Nation’s Health. Helfand said he compiled the history using his own personal files and documents from the American Podiatric Medical Association.

Source: Natalie McGill, The Nation's Health [May/June 2013]

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. This question submitted by Dr. Michael Forman.

Quick Poll
What type of digital radiography system does your office use?
Click HERE for Results

Obesity Puts Feet at Risk: Aussie Podiatrist

Research has shown that excess weight can raise the risk of not-so-fun conditions like tendon inflammation and osteoarthritis. “Simply by being overweight, you can put your feet at risk,” says podiatrist Phil Vasyli. “Just as intensifying activity can increase force on your feet, so can adding a large amount of weight, which puts additional stress on the foot with every step you take.”

Philip Vasyli

If you’re overweight, but concerned about getting moving, try starting with low-impact activities like swimming, water aerobics, the rowing machine, or yoga. When beginning or intensifying a fitness routine, start from the ground up and make sure your sneakers offer enough support to keep your feet healthy as you “jumping jack” your way towards your wellness goals, says Vasyli.

Source: Perri Blumberg, Reader's Digest [5/2/13]

Shire Partners with AAWC to Provide 100K for Fellowships for 2014-5 

Shire has announced that it is providing the Association for the Advancement of Wound Care (AAWC) with an unrestricted grant to be used for fellowships that will advance the science  of wound care. This unrestricted grant from Shire of $100,000 will be split to sponsor two individual fellowships for the 2014-2015 academic year. The fellow selection process will be administered by the AAWC, and each fellowship will be open to DPM, MD, and DO candidates to support a post-residency or fellowship program focused on multi-disciplinary wound healing and tissue preservation.

Dr. Robert Snyder

“Decreasing the number and severity of all types of wounds is what drives me and our organization,” said Rob Snyder, DPM, President of AAWC. “Providing fellowship grants for the scientific advancement of wound care is an incredible opportunity for two future leaders to move the science of wound care forward and ultimately improve patient care in an area where there is still a large unmet need."

Bret Ribotsky: Tonight, we have learned about stability vs. mobility with regard to orthotics and knee forces. Thus, a stiff shoe can increase forces on the knee. How can this be used from a podiatric perspective?

Dr. Roy Lidtke

Roy Lidtke: What our research has shown is that a very flexible shoe will allow more motion to occur and thus decrease forces at the knee. Research that I have been involved with at Rush University has lead to the OA shoe. This specifically-designed flexible shoe has shown to decrease knee forces up to 20%. 

Dr. Gabriel Halpern

Meet the Masters is broadcast each Tuesday night at 9 PM (EST). This week's guest is Dr. Gabriel Halpern,  wound care expert and CAC rep for California.. You can register for future events by clicking here

RE: Pedal Reaction to Doxil
From: Elliot Udell, DPM
 
This patient presented with a pedal skin reaction to Doxil, which is a chemotherapy drug. Skin reactions are a known side-effect of this pharmaceutical. The skin reaction developed within days of taking the drug. 

Skin Reaction to Doxil

Initially, the redness was far more severe and  her oncologist controlled it with topical steroids. The scaling and cracking remains, and we are managing it with a 30% urea-based cream in addition to the topical steroid.
 
Elliot Udell, DPM, Hicksville, NY, Elliotu@aol.com

RE: Chronic First MPJ Pain
From: Don Peacock, DPM
           
Judging by the lateral x-ray, it appears that she may have a functional hallux limitless. It does appear that she has diminished first metatarsal declination angle due to hypermobility of the first ray. It would be interesting to know what her range of motion is with the first metatarsal loaded. Her deformity does not appear to be radiographically or clinically applicable for a joint implant. This appears to be more of a functional stage I hallux limitus. Your original concept of performing a decompression osteotomy would make more sense. This can be performed utilizing minimally invasive procedures.

Pre- and Post-op X-Rays

I recently had a similar case that I corrected  by performing an 1.5 cm. incision medially and performing a decompression osteotomy on the first metatarsal phalangeal joint using a guide pin. This small incision also allowed me to reduce the dorsal exostosis, utilizing a power rasp. I was able to perform the surgery without the need for fixation. The patient is completely pain-free. Above are the pre-op and post-op x-rays. I angled the osteotomy to get plantarflexion of the first metatarsal and also addressed her equinus deformity by endoscopic gastroc recession. Addressing the equinus deformity will give you improved plantarflexion of the first metatarsal. Most of these deformities are associated with gastroc equinus, which should be addressed.

Don Peacock, DPM , Whiteville, NC, peacockdpm@gmail.com

RE: Grounds for Patient Dismissal (Charles Morelli, DPM)
From: Howard R. Fox, DPM

As our editor pointed out, this issue is between the anesthesiologist and your patient, not you. I don’t think you can refuse to perform additional surgery because your patient stiffed the anesthesiologist, but you can warn your patient that when you book a second surgery, it might be impossible to get an anesthesiologist to agree to involve themselves with your patient under the circumstances. While it might be entirely possible to perform your subsequent surgery with only local anesthesia, it would be your call to decide whether that’s in the patient’s best interest. If he’s gonna squirm around on the table or work himself into a compromised state of health because he’s not sedated, you can certainly insist on doing your surgery with an anesthesiologist present. If you can’t get one, then you’re unable to do the surgery.
 
You may want to share a story I had with that anesthesiologist.  Several years ago, the same thing happened to me where the patient pocketed insurance reimbursement and wasn’t paying me. I called the patient and told him at 4:30 PM today, I’m making a call to the IRS to inform them of this unreported taxable income he received which will almost certainly result in an audit. I received the entire amount in cash that very day.
 
Howard R. Fox, DPM, Staten Island, NY, fox.howard@gmail.com

RE: Purchasing a Digital X-Ray System (Michael Brody, DPM)
From: Jon Purdy, DPM
 
In the interest of getting closer to the bottom of this debate, I have a few questions. Dr. Brody states, “Every system I have seen at podiatry shows will provide you with quality diagnostic images.” If this is the case, why wouldn’t you just find the one with the lowest price and purchase that? I have difficulty accepting that “image enhancing” after the fact is the “power” in digital x-ray. A poor image cannot be enhanced to become a great image.
 
And, why would anyone choose a more cumbersome CR system to “process” films, which takes more time and effort than a DR system? I have never understood the appeal of CR systems.
 
Jon Purdy, DPM, New Iberia, LA, jpurdy@mindspring.com

RE: Laker Basketball Star's Injury May Have Been Preventable: TX Podiatrist (Ed Davis, DPM)
From: Amol Saxena, DPM

There is no level 3 or higher study to support that Achilles tendon ruptures are associated with having ankle equinus. Quoting one level 4 study is not very assuring. Furthermore, there is also no evidence that stretching and other rehabilitation techniques are helpful. In fact, the mainstay of treatment for Achilles tendinopathy (but not ruptures) is eccentric strengthening. All NBA teams have a rigorous conditioning and rehabilitation team that utilize these techniques. Unfortunately, ruptures are just part of the sport. If stretching the Achilles is so helpful, why do virtually all patients who present with Achilles tendinopathy state they already have been stretching when they come in for treatment?

In addition, trying to reduce the equinus in an athlete can be...

Editor's note: Dr. Saxena's extended-length letter can be read here.

RE: Laker Basketball Star's Injury May Have Been Preventable: TX Podiatrist (Brian Fullem, DPM)
From: Ed Davis, DPM
 
How can Dr. Fullem make the remarks about my original communication when he has not read it? The Wall Street Journal story extracted information from my email communication, particularly those items that were of heightened interest due to the recent Achilles rupture by Kobe Bryant. It contains less than 30% of the original content.

There are many theories as to the cause of Achilles rupture but...

Editor's note: Dr. Davis' extended-length letter can be read here.

RE: Outrageous Shoe of the Week

This shoe takes the cake. Sweet Arts Bakery, Avon, NY

Submitted by Dr. Joseph Borreggine

EQUIPMENT FOR SALE - CUTTING EDGE MPL  THERAPEUTIC "COOL" LASER

Purchased 04/2010 Purchase price $27,000 Asking $13,000 (Image 1, Image 2, Image 3). Our doctors just haven't been using it enough. email mrobsondpm@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

EQUIPMENT FOR SALE - NEW AEROLASE YAG LASER

Brand new Aerolase Yag Laser Bought Feb 2013- Never Used Paid $35,000. Will sell for $25,000. Contact Kathy (352) 867-1155 or Michael after 7pm (352) 816-1155.

EQUIPMENT FOR SALE - FOX YAG LASER

Mint condition, still under warranty. Unit is portable & includes all the accessories. $14,500.00. Call 727 586-3668 or 727-321-310.

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.

PODIATRIST SEEKING EMPLOYMENT - CHICAGOLAND AREA
 
Personable, well trained ABPS Board Certified podiatrist with 10 years experience seeking associate position or buy-in opportunity in the Chicagoland area. Please email inquires to ewcv5@hotmail.com.

ASSOCIATE POSITION - LAS VEGAS, NV

Need a Nevada licensed podiatrist to cover IN OFFICE for month of June 2013. Starting Date June 1, surgical experience not a requirement. Salary is negotiable. doctor@viawest.net

ASSOCIATE POSITION - SUBURBAN WASHINGTON

Busy 4 office practice in suburban Washington, DC seeing highly motivated individual for full time associate position leading to partnership. Minimum PSR 24. Competitive salary and benefits.  Respond to mlmltm@aol.com

FT OR PT ASSOCIATE - SOUTH JERSEY

Great opportunity for FT or PT associate starting July 2013 in established practice in South Jersey. EMR, FDA-approved Lasers for fungus. Will work with Board Certified/Qualified podiatrist. Must have New Jersey License. Diverse practice in a nice area with a pleasant environment. e-mail CV at hhfootdoctor@gmail.com

ASSOCIATE POSITION - NEW JERSEY

Immediate opening for a full time podiatrist in a rapidly expanding multi-office practice in central New Jersey. Well established referral base with full admitting hospital privileges. Compensation is performance based with patients scheduled from day 1. Wonderful working conditions. Applicant must have at least PSR-24 surgical training. Valid NJ license and Medicare number is required. Applicant should also be familiar and competent in podiatric surgery, biomechanics, trauma, PRP, wound care, and ultrasound diagnostics. Participating insurance #'s a plus. Please fax resume to: (609) 259-6637.

PODIATRIST WANTED - NEW YORK

Full-time podiatrist is needed in Brooklyn. Excellent salary and benefits for an excellent growing practice. Please send your resume to Metropolitanirene@gmail.com.

ASSOCIATE POSITION - NEW YORK

Large established podiatry practice 30+ years in New York Hudson Valley/Capital District area seeking associate/partner to eventually take over practice. Also would entertain reasonable offer to purchase one of the two offices. Serious Inquiries may contact: Podiatrygroupny@gmail.com

ASSOCIATE/PARTNERSHIP  MIAMI/KENDALL FLORIDA

Podiatrist with interest in foot and ankle surgery and comprehensive foot and ankle care. Pathway to partnership/ownership available. Send CV and information: ibaumdpm@bellsouth.net

ASSOCIATE POSITION - CALIFORNIA

Established foot and ankle specialty group looking for an experienced podiatrist. This position entails making rounds at local hospitals, skilled nursing facilities and having scheduled office appointments. Must be comfortable with all aspects of podiatric care and will be doing no less than the hiring partners. Full-time position with a competitive salary.  Looking for someone with a great bedside manner, energetic and will to go the extra mile to make a positive difference. Send CV to administrator@footnankledoc.com

PODIATRIST WANTED - PENNSYLVANIA

Multi-specialty physician group seeking part-time or full-time to join our Johnstown, PA facility offering on-site x-ray, vascular ultrasound and other services. Patient base already established. Experienced or recent graduates considered.  Applicants send resume to cfleegle@atlanticbbn.net or call 814-288-1418 ext. 7.

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 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 - 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 - SOUTH EAST FLORIDA

Large established podiatry practice looking for a part-time associate. Experienced or recent graduates considered. Serious inquiries may contact us at podiatryg@yahoo.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 - 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 – MISSOURI

Podiatric medical group seeks PSR24-36 individual who is interested in working with former residency director who can enhance your already strong training. Full scope practice with the cases to fast track to board certification. Four hospital affiliations, certified surgical suite in office, ultrasound, EHR Certified Stage 2. We are located close to St. Louis for day use. Exceptional school system in a low crime, low cost of living area. E-mail resume to: drfootski@hotmail.com

PODIATRISTS NEEDED - LOS ANGELES, CA
 
Home Foot Care, Inc. Is looking for motivated podiatrists to provide quality mobile care to our home-bound patients. Flexible schedule, independence, great compensation. If interested, please email resume to homefootcare@hotmail.com

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 - MASSACHUSSETS

Located near Boston. Busy multi-office podiatry practice looking to expand. Need extremely energetic dedicated individual. Must be PSR 12-24 trained, EMR, laser, vascular testing the works. Must have sense of humor. MA License, NH License A+! Surgery, sports medicine, pediatrics, shoe store. Please send resumes to resumesent11@comcast.net.

ASSOCIATE POSITION - NORTHWEST CHICAGO SUBURBAN AREA
 
Medical-surgical podiatry practice seeking well-trained individual to work full-time with future partnership opportunity. PM&S-36 a minimum. Pleasant community 45 minutes outside Chicago. Send resume to feetdpm@yahoo.com

ASSOCIATE POSITION - WEST VIRGINIA 

Seeking podiatry associate in well-established, growing practice in small, friendly, safe city. New hospital built 2 years ago in nearby. large college is 35 minutes away. Immediate employment. Senior podiatrists is retiring. email resume to associatedpodiatrists@gmail.com or fax to (304) 623-2638. 

POSITIONS AVAILABLE -  PHILADELPHIA, PA AREA , & TEXAS

Looking for podiatrist to see patients in Nursing Home Facilities in Philadelphia, PA area  and Texas. AVAILABLE IMMEDIATELY.  Please contact me at doconcall@aol.com.

ASSOCIATE POSITION - SOUTH CAROLINA

South Carolina's largest provider of foot care is a multi-doctor, multi-location practice currently seeking a highly skilled, personable, and hardworking physician to join our TEAM. South Carolina License is necessary. Above average salary and benefits. Please send Letter of Interest and CV to scdpmjobs@gmail.com.

TWO FOR TEXAS

Desiring to grow our group of successful medical and surgical professionals. We are seeking an exceptional Podiatric Physician and Surgeon with great interest and talent to serve as 1) Our Diabetic Foot Care Team Leader or 2)Our Sports Medicine Team Leader. Send CV and letter of interest to: greatdoctors1@gmail.com

PODIATRY PRACTICE LOCATION AVAILABLE - UPPER EAST SIDE NYC

Prime NYC Practice Location: 200 East 72nd Street. Street level with signage. My equipment or yours. Will stay on to introduce or leave.  E-mail Dr. Shavelson. drsha@lifestylepodiatry.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.

PM News Classified Ads Reach over 14,000 DPMs and Students

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