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| PM News | |
The Voice of Podiatrists
Serving Over 15,814 Podiatrists Daily
May 13, 2014 #5,057  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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| PM NEWS QUICK POLL | |
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| PODIATRISTS IN THE COMMUNITY | |
After 40 Years, AZ Podiatrist Takes on a Partner: His Niece
For nearly 40 years, podiatrist Dr. Edward Wiebe has been helping Flagstaff residents put their best foot forward at Flagstaff Foot & Ankle. Now his niece, Dr. Rachel O’Connor, is preparing to follow in his footsteps. O’Connor moved to Flagstaff a year ago to help Wiebe with his practice and learn the ropes of running a small business. She is a graduate of the University of Arizona who would visit her uncle in Flagstaff during the summer. “I saw what my uncle was doing and wanted to get into medicine,” O’Connor said.
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Drs. Edward Wiebe and Rachel O’Connor (Photo: Taylor Mahoney) |
“I wanted to be in a profession that was more upbeat and conducive to having a family. Something with a good mix of office and surgery work.” O’Connor found that mix in podiatry, where most injuries and conditions can be fixed without surgery and are not life-threatening if they can be caught early. “Basically, we deal with everything below the knee, from bones to skin,” Wiebe said.
Source: Suzanne Adams-Ockrassa, Arizona Daily Sun [5/11/14]
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| INTERNATIONAL PODIATRISTS AND FOOTWEAR | |
Leather Shoes Could Cause Problems in School Children: NZ Podiatrist
Black leather shoes, mandatory at many New Zealand schools in winter, are causing harm to children's feet, say podiatrists. Most intermediate and secondary schoolchildren around the country switched this week to winter uniforms and the black leather lace-ups that go with them. Auckland podiatrist Caron Orelowitz, of Podiatry NZ, said the shoes could cause major problems for young feet. "The foot is constantly developing and the bones are soft," Orelowitz said. "They need as much cushioning as possible or they could end up with other problems."
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Caron Orelowitz |
She said it was particularly a problem for children running around at lunchtime. "If they're running in leather shoes with rubber soles, there's no shock absorption. They can develop knee, heel, and foot pain." Orelowitz said it would be better for children to be in cheap sneakers than to run around in leather school shoes.
Source: Susan Edmunds, New Zealand Herald [5/11/14]
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| SUCCESS TIPS FROM THE MASTERS | |
Bret Ribotsky: What’s new in dermatology that podiatrists should be aware of?
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Dr. Marta Rendon |
Marta Rendon: There is a new technology called SRT (superficial radiation technology), a low energy radiotherapy that goes no deeper than the thickness of the skin. In reality, this is a 50 year-old technology that has been improved upon to make this available in the office setting. In those patients where the podiatrist has confirmed non-melanoma skin cancer, and who are poor surgical candidates, the cancer can be treated safely by this non-invasive method.
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Dr. Paul Kesselman |
Meet the Masters airs live every Tuesday night. This week's guest is DME guru, Dr. Paul Kesselman. You can register for this and future events by clicking here
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| QUERIES (NON-CLINICAL) | |
Query: Taking Blood Pressure Readings on Assisted Living Residents and Nursing Home Patients
I work for a family practice physician group which recently implemented an EHR system in their office, and for the physicians and podiatrists who see patients in nursing homes and in assisted living facilities, including patients seen in memory care units.They requested that my assistant or I take a blood pressure reading on every patient at every visit simply for “meaningful use”, so they don’t lose money from Medicare (although they didn’t say this directly).
I see at least twenty patients every day (mostly for painful mycotic hypertrophic toenail debridement). I think that this request is ridiculous. From my point of view, you can hurt these 90-year-old patients because they are mostly frail. The pressure from the cuff in taking unnecessary blood pressure readings can cause further skin irritation and pain. I have seen patients with hemorrhages already underneath their skin at this age. These patients usually have their blood pressures taken daily or weekly anyhow. I say that this is “BS”, and I refuse to do this. What do my colleagues think about this just to “be compliant” with this one “meaningful use” point?
Name Withheld
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| QUERIES (EMR) | |
Query: Security Risk Analysis
How are podiatrists performing the security risk analysis? Who is doing this for us, or are we supposed to do this ourselves? If we do it ourselves, how do we know if we get it right? I have not seen any articles discussing how to perform a security risk analysis.
Thomas Fitzgerald, DPM, Rohnert Park, CA
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| RESPONSES/COMMENTS (CLINICAL) | |
From: Bryan C. Markinson, DPM
There are several topical treatments for both basal and squamous cell carcinoma, PROVIDED that the lesions are singular and have not spread to lymph nodes. The poster does not say why the patient is homebound. In any case, before treatment is begun, the patient needs a total body survey and lymph node exam. In my opinion, topical treatment of these cancers is best left to those who do it regularly, or if in this situation, it is possible for the DPM to consult with a dermatologist for advice, I would do so. I would definitely not fly solo, especially since the full evaluation of this may raise scope issues for the DPM. Kudos for the clinician who did the biopsy to get the diagnosis.
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1A | |
From: Mel J. Colón, DPM
1) I normally take out a bit more nail than the next podiatrist to help assure no recurrence. As we all know, that area will come together nicely post-op.
2) The crucial modification I came up with is to use a curved Kelly to spread open the matrix area to make abundantly sure that the phenol (or whatever you use) gets to the area you want to destroy so you don't get a recurrence.
3) It is crucial to apply phenol to the nail bed area distal to the matrix because there are matrix cells present in this area at times.
4) I use an English nail nipper to excise any proud flesh/granuloma and then apply phenol to that area as well.
5) I am always exceedingly careful to not get phenol anywhere else on the toe.
My success rate is literally 99.99%; meaning, I had one recurrence since 1974.
I hope some of you will try these modifications and if you can, please email me to let me know if you have improved outcomes.
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1B | |
From: Lawrence Sturm, DPM
I switched to using NaOH a few years ago. I find there is a little more discomfort the night after the procedure for the patients, but they are mostly resolved in 2 weeks. I have not had any recurrences yet. The NaOH is applied for 60 seconds, once only and then neutralized with acetic acid. Here is an abstract comparing the two agents:
Dermatol Surg. 2007 Jun;33(6):680-5. Comparison of phenol and sodium hydroxide chemical matricectomies for the treatment of ingrowing toenails. Bostanci S, Kocyigit P, Gürgey E. Department of Dermatology, Ankara University, Medical School, Ankara, Turkey.
Abstract: Chemical matricectomy is performed mainly by two agents: phenol and sodium hydroxide. Both agents have excellent cure rates, but there are no data about the comparison of post-operative healing periods. This study was ...
Editor's Note: Dr. Sturm's extended-length letter can be read here.
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Centennial Gala
Celebrating 100 Years of Educating Doctors of Podiatric Medicine
Friday, June 20, 2014
6:00 p.m. Wine and Hors D’oeuvres
7:00 p.m. Dinner, Program and Dancing
The Disneyland Hotel 1150 West Magic Way, Magic Kingdom Ballrooms 1 and 4, Anaheim, CA
This event will celebrate the history and accomplishments of the California School of Chiropody, the California Podiatry College (CPC), the California College of Podiatric Medicine (CCPM), and the California School of Podiatric Medicine (CSPM).
Only 260 Seats Available!
A sell out is expected – Reserve your seat today!
All net proceeds to benefit current Doctor of Podiatric Medicine students at CSPM through the Podiatric Medicine Scholarship Fund unless otherwise designated.
For more information or to purchase tickets online please visit our Centennial webpage or call (510) 869-8628.
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 2 | |
RE: Kudos to Crocs
From: Michael J. Schneider, DPM
Thanks to Jeanne Platt and Crocs for the generous donation of 55 pair of Crocs shoes to the Denver Rescue Mission.
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MEETING NOTICES - PART 1
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Foot of the Day
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This foot takes the cake. |
Source: Carewrecks.com via Dr. Noah Blumofe
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MEETING NOTICES - PART 2
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PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME
You can Earn 50 CPME-Approved CME Contact Hours Online
Earn 15 Contact Hours only $179
(Less than $13 per credit) http://www.podiatrym.com/cme.cfm
All required credits can be taken online for AL, AK, AR, CA, CO, CT, DE, HI, IN, KS, KY, LA, MA, ME, MD, MI, MN, MI, NV, NJ, NM, ND, OH, OR, RI, SC, SD, VA, WV, WI, & WY
Partial required credits can be taken online for AZ, FL, GA, ID, IL, IA, MO, MT, NH, NY, NC, OK, PA, PR, TN, TX, UT, VT, WA, and DC
Choose any or ALL (50 CME Contact Hours) from the 30+ CME Category-1 articles posted
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| CLASSIFIED ADS |
EQUIPMENT FOR SALE - PADNET
PADnet system excellent condition, all cuffs work, good condition. This comes with computer, software, printer and cart. This has a warranty on the PADnet unit until December 2014. Asking $10,000. Call office for details. 330-369-1511
EQUIPMENT FOR SALE - PINPOINTE FOOTLASER
Like new 2009 Pinpointe Footlaser for sale. Well maintained and calibrated monthly. Includes: 2 keys, 2 pairs of laser goggles & cases, cleaving tools & owner’s manual. Good opportunity for your office to begin treating onychomycosis. Asking $16,500.00. For pictures or more information contact questions@nmfootandankle.com
EQUIPMENT FOR SALE – NY
Two Midmark 417 Power Programmable Podiatry Exam Chairs light blue with patient screen, mauve with surgical tray. Completely functional, very good condition. Matching cabinets available, one mobile. Hydrotherapy mobile 45 gallon extremity whirlpool tub excellent condition available for immediate pick-up. For pictures or more information contact info@newyorkfai.com
PRACTICE FOR SALE - DENVER, COLORADO
Established metro practice available for transfer to an experienced, board certified podiatric physician. Exceptionally well equipped with EHR Management System. Two offices and strong patient flow. PinPoint/CO2 lasers, new digital X-Ray and more. For a confidential discussion and details contact Mike Crosby: mcrosby518@gmail.com
PRACTICE FOR SALE – PORT CHARLOTTE, FL
Practice with office condo for sale, part-time currently with great potential for full-time office. Great mix of clinical/surgical. Low overhead; equipment, furniture, tools stay. Perfect starter office or add-on. Must sell! $150,000 OBO. Email femmebusa@hotmail.com.
PRACTICE FOR SALE - NJ BERGEN COUNTY
Established podiatry practice in NYC suburb. General care and minor in-office surgeries. Surgery growth potential as currently referred. 2X treatment plus consult room. EMR, auto x-ray processor, diagnostic US. Medical building. Close proximity to Englewood Hospital. 3+ years on favorable lease. Priced to sell with ARs. Average gross P/T $112,000/yr. Email/call: mattekaiman@gmail.com (201) 894-8861.
PRACTICE FOR SALE/ASSOCIATE POSITION- NASHVILLE, TENNESSEE
Excellent low cost opportunity to work part or full-time. Growth potential for increased cash revenue & services. For Sale or Associate opportunity for buyout. 22 year established practice. Two full days per week grossing 150+K. Low overhead. Minimal CNC/Medicare. Must sell, 50K obo, financing available. Reply lowcost990@gmail.com
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
FELLOWSHIP OPPORTUNITY - INDIANA/HAITI
Introducing a first of its kind Podiatric Continuing Educational Opportunity! International Mission Podiatric Medicine and Surgery Continuing Educational Opportunity will be split between Haiti and Indiana. Two opportunities are being offered. Includes salary, free housing in Haiti and Indiana, malpractice insurance and Indiana license, APMA and IPMA membership dues. Contact: Patrick A. DeHeer, DPM (padeheer@sbcglobal.net) 317-557-6710
ASSOCIATE POSITION – LOS ANGELES, CA
Part time/Full time associate position opening in July/August this year in Los Angeles area. Will be working with seniors in an HMO clinic setting as independent contractor. Multiple locations. No nursing homes or calls. No billing necessary. Positive attitude and friendly demeanor a must. Send CV to eric.chen@caremore.com
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 - CHICAGO/CENTRAL ILLINOIS
Full & Part-time IMMEDIATE opportunity to provide care to residents in long-term care throughout Illinois. FT position includes health, disability, 401, auto/travel expenses. Full-time candidate must be willing to travel specified times during the month, or be located in central or downstate IL. Part-time opportunity offers very flexible scheduling. We have a 30 year history of providing exceptional care with appropriate reimbursement. Join our great team. Email queries/resumes to gh@podiatryplus.net
ASSOCIATE POSITIONS – NEW YORK
A provider of high quality podiatric care in Nursing Facilities and Assisted Living Communities is looking for a podiatrist to treat patients in NYC (5 Boroughs), Upstate N.Y. and Philadelphia PA. We are a fast growing company looking for motivated and caring podiatrists. We offer both full time and part time positions, with flexible schedules and an unmatched potential for growth. Please send your Resume/CV to doconcall02@aol.com
ASSOCIATE POSITION - BROOKLYN, NY
Podiatrist needed for busy Brooklyn practice. Must be at least Board Qualified. Surgical background, hard working, motivated and personable. Travel to multiple offices in Brooklyn required. Part-time to start, with the potential for full time and partnership. Please email CV to drbreth@progressivepodiatryny.com or fax to 718-840-0653.
HOME FOOT CARE, INC. - LOS ANGELES, CALIFORNIA
Looking for reliable, honest, and motivated podiatrists to join our group to assist with house calls to patient’s home residences, and some group facilities. Candidate must be willing to drive throughout the San Fernando Valley and the greater Los Angeles area. Part/Full time, flexible hours, independence, great compensation! If interested, please email resume to: homefootcare@hotmail.com
ASSOCIATE POSITION - HOUSTON
Established "modern" practice looking for BC/BE podiatrist to take advantage of a unique opportunity. Located in a highly desirable area with good surgical volume, access to DME, lasers and expanding referral base with full time marketer. Not currently doing hospital work, minimal rearfoot surgery, no nursing homes or routine care. Prefer at least 2 years experience although qualified recent grads welcome. Salary plus bonus available, partnership after 1 year if criteria met. Send resume/CV to faajobs@gmail.com.
ASSOCIATE POSITION - CENTRAL VALLEY/SOUTHERN CA
Seeking associate with partnership availability. Must be highly motivated and have good patient skills and personality. Salary excellent with all paid benefits/incentives including malpractice/401k and profit sharing. Compassionate and well-trained for immediate position. Surgery Center and hospital-based with no HMOs/no rest homes. Bilingual in English and Spanish preferred. Offering a permanent position/partnership in a multi-million dollar hi-tech practice with Partnership also in Surgery center. Please e-mail CV and short bio to:Tonya@wetreatyourfeet.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 – SAN FRANCISCO, CA
Immediate associate position available. Applicant should be personal, self-motivated and independent. Will provide diabetic treatments, biomechanical exams, minor office procedures, major surgical corrections, in-home care. Great surgical growth potential. Competitive compensation package. Send letter of intent and CV to admin@blaskodpm.com
ASSOCIATE POSITION - SOUTHERN ARIZONA
Accepting applications for an associate with partnership availability. Must be highly motivated and have good patient skills and personality. Salary with benefits/incentives including malpractice and profit sharing. Looking for a compassionate and well-trained individual. Surgery Center and hospital-based practice with multi payers insurance contracts. Bilingual English/Spanish preferred. Multi office Practice with digital x-rays, ultra sound, EMR and affiliated clinical research as well as residency program. Please e-mail CV and short bio to:drdafac@gmail.com
ASSOCIATE POSITION AVAILABLE FOR GROUP PODIATRY PRACTICE - MARYLAND
Perfect opportunity for highly motivated podiatric surgeon with excellent clinical skills. Individual must be proficient with inpatient management as well as outpatient wound clinic. Competitive compensation package which includes base salary and bonus structure. Please email letter of interest and CV to podiatryassociate2995@gmail.com
ASSOCIATE POSITION - HUDSON VALLEY REGION, NY
Hudson Valley Foot Associates has a great opportunity available! We’re a high-volume, diversified, multi-office group practice utilizing state-of-the-art modalities. Great growth for a personable and motivated DPM. Please visit www.hvfa.com and forward cover letter with CV to info@hvfa.com.
ASSOCIATE WANTED - SW FLORIDA
R U a superstar for immediate start. Southwest FL group looking or BC or BQ podiatric physician for dynamic and growing practice. Great starting salary, benefits and surgery volume. FL license a must. Send CV and why you are a superstar. mny1029@gmail.com
ASSOCIATE POSITION - VANCOUVER ISLAND, BC
Experience associate for multi office practice. No residency required Beautiful Vancouver Island, British Columbia Reply to dr.cole@shaw.ca
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 - SOUTH JERSEY - IMMEDIATE OPENING
Exceptional opportunity for a full time, surgically trained podiatrist to join our busy, well rounded, two office practice, covering all aspects of podiatry. Do you enjoy surgery, wound care, sports medicine, diabetic care, biomechanics, children, elderly and all ages in between, WE SEE IT ALL! We are also a hospital-based practice that is affiliated with a residency program. You are highly motivated, personable, have great communication skills and are looking for an opportunity for a future buy-in/partnership. If this describes you, please send cover letter and CV to superstarstaff1@gmail.com In the subject line of email, please write, "I am your next great associate.”
ASSOCIATE POSITION - WASHINGTON, DC/MD
High volume practice with sports medicine emphasis looking for a PSR24/36 month trained full-time associate to replace retiring senior partner. Work with a prominent residency program with an opportunity to invest in an outpatient surgery center. Please send CV and cover letter of practice philosophy tohgodpm@gmail.com
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
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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