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| PM News | |
The Voice of Podiatrists
Serving Over 15,816 Podiatrists Daily
May 16, 2014 #5,060  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 AND POLITICS | |
NE Podiatrist Wins Primary for Legislature
District 4: Dr. Robert Hilkemann, a retired podiatrist, will run against Stacy Ryan, a legal researcher and judicial activist, in West Omaha. The two Republicans defeated three other candidates, including GOP activist Matt Butler. If elected, Hilkemann will be the only licensed healthcare professional in the Nebraska legislature.
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Dr. Robert “Bob” Hilkemann |
Robert Bob Hilkemann 2,268 38.5%
Stacy Ryan 1,454 24.7%
Matt Butler 1,037 17.6%
Steve Howard 1,017 17.2%
Nicholas Pestello 121 2.1%
Source: Omaha World Herald [5/14/14]
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| HOSPITAL PODIATRISTS IN THE NEWS | |
WI Podiatrist Wins 100K in Hospital Raffle
Dr. Alyssa Stephenson of Fond du Lac won the $100,000 grand prize Tuesday in Agnesian HealthCare Foundation’s Samaritan Health Clinic cash raffle. An Agnesian podiatrist, Stephenson purchased eight chances for prizes, including the lucky one pulled from a drum jammed with tickets. She said that she will donate some of the money to Samaritan Clinic, but she and her husband have not decided what they will do with the rest.
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Dr. Alyssa Stephenson |
“The night of the event we talked about definitely giving back to the Samaritan Clinic,” Stephenson said. “I get to see those patients in the clinic, and the foundation does a wonderful job with patients. We have a child with special needs. He may need something from the Samaritan Clinic some day. We hope to start a (fund) for him as well.”
Source: Carlos Munoz, Fond du Lac Reporter [5/13/14]
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| PODIATRISTS IN THE COMMUNITY | |
Students Make Teddy Bears for NY Podiatrist's Foundation
Armonk middle school students volunteered their time Tuesday to make teddy bears for sick children in various hospitals. The students from H.C. Crittenden Middle School were working with the Heavenly Productions Foundation, a non-profit that helps children in distress. The organization was started by Dr. Kathy Reilly Fallon in 2003 and provides teddy bears to sick children nationwide, plus in Haiti and Africa.
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Dr. Kathy Reilly Fallon |
The bears will be delivered next month to the Blythdale Children's Hospital in Valhalla and the Children's Hospital in Philadelphia.
Source: News 12 Westchester [5/14/14]
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| IN THE COURTS | |
Discrimination Suit Against NYCPM Dismissed
A Hispanic graduate of New York College of Podiatric Medicine who sued his alma mater has presented no direct or indirect evidence of national origin discrimination, a federal judge has ruled. The decision dismissed a Title VI suit seeking $10 million in damages and retroactive enrollment in a residency program. Dr. Hernan Melgarejo failed part II of the American Podiatric Medical Licensing Exam eight times and blamed discrimination for his inability “to secure a residency or obtain a permanent podiatrist position,” according to the court.
He “contends that as a result of the discrimination he suffered, he has been unable to secure a residency or obtain a permanent podiatrist position,” U.S. District Judge Katherine Forrest said in her decision. Melgarejo “indisputably had a number of difficulties with regard to his education. He received poor grades, was put on academic probation and allegedly encountered public displays of disapproval,” Forrest said. Even so, she found “no evidence providing the slightest support for an inference that the college discriminated based on his national origin or that he was treated differently from his non-Hispanic peers.” While he alleged that a White student received preferential treatment in an oral exam, she noted he also twice failed the written part of the test. The decision noted that the college gave Melgarejo a “great deal of individualized support and attention.”
Source: Eric Freedman, Diverse [5/13/14]
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| RESPONSES/COMMENTS (CLINICAL) - PART 1A | |
From: Tip Sullivan, DPM
Surgery on this spiral fracture at 7 weeks is wrong, unless the fracture is very unstable (assess with a “C” arm). If it is very unstable, percutaneously pin it. If goes to a painful non-union, then remove the fragment—basically do an arthroplasty of the PIPJ. I would try very hard to avoid “doing something” surgical at this point. Sometimes, you just have to let the patient whine a little and let Dr. Time work with you.
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| RESPONSES/COMMENTS (CLINICAL) | |
From: Kenneth Meisler, DPM
I would not consider surgery for this patient. There is minimal displacement, and as you stated, the toe is only "mildly sore." I am sure that with another 4 weeks of strapping the toe to limit PIPJ and MPJ motion along with a post-op shoe, it will be much less painful and show signs of healing on x-ray. It could take many months to appear totally healed on x-ray, but as it becomes much less symptomatic, you can switch the patient to a sneaker, and eventually shoes.
However, I would continue taping for a few months or until asymptomatic, with significant signs of healing on x-ray. You could also add a bone stimulator, but I think it would be overkill. Don't treat the x-ray.
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| RESPONSES/COMMENTS (IN THE COURTS) - PART 1A | |
From: Fred Huss, DPM
If it weren't, sadly, so real you'd think this story came from the ONION, and check out the ALJ's last name. By Jewish law, as I am aware, you are not allowed to have your establishment open or have employees, Jewish or not, work on those holidays.
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| RESPONSES/COMMENTS (IN THE COURTS) - PART 1B | |
From: Randall Brower, DPM
These judges are so out of touch with reality on the ground with physician practices. There is no absolute morality or common sense. A compassionate common sense person, judge, inspector had to know the days in question were holidays.* But all government and judicial persons care about are the letter of the law not the spirit. I'm not wishing ill, but maybe I am...I truly hope that judge and inspector at some point in time injures their foot and ankle, goes to a physician for a DME device who had their DME license revoked...and gets sent out to Hanger or another supplier where there is a three-week wait for an appointment. The rules for suppliers were written independently from the rules governing physicians who dispense DME.
I called Noridian with a concern that according to supplier guidelines, an order must be in the chart from the requesting physician. I told them that I was the requesting physician and that it was silly to write an order to myself and in fact, a physician writing an order to himself may constitute fraud or a Stark violation, etc. They agreed that these two sets of rules were written with no thought for the physician who is also the DME supplier. They did tell me that as long as I put in my note the reason and need for DME, that would suffice. I had others in my organization call and confirm this as well. There is written proof of this in a Noridian Q&A section on Noridian's website to back me up. It still seems that despite all of these hoops, Medicare can do as it pleases and judges are complicit.
*Editor's Note: To be accurate, one of the days of the inspection was pre-holiday, and the second was during the holiday.
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| RESPONSES/COMMENTS (NEWS STORIES) - PART 1A | |
From: Craig Payne
Dr. Peacock has misunderstood what this class action was about. It was not about if barefoot/minimalism or the Vibram Five Fingers was any good or not. It was about Vibram claiming there was “ample” evidence to support the health claims they made. There was no evidence when they made the claims and there still isn’t. Over the last 4 years, there have been five systematic reviews of all the evidence reaching that same conclusion. It was alleged that this misled consumers into buying the product.
When Vibram filed a motion to get the case thrown out last year, the judge dismissed the motion and pretty much accused Vibram of not being truthful about the scientific evidence and doing so deliberately. The writing was on the wall that this case probably could not be defended. As for claims made by other running shoe manufacturers, they are not making health claims (go check their advertisements), let alone claiming that scientific evidence supports them. That was Vibram's downfall, as it was with Skechers and Reeboks in having to settle with the FTC for over $100 million each for the claims they made for their toning shoes. Vibram FiveFingers got let off lightly.
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| RESPONSES/COMMENTS (NEW STORIES) - PART 1B | |
From: Robert Scott Steinberg, DPM
What is off-putting to me is Dr. Peacock's tone. It seems to me that Dr. Peacock's dedicated use of Vibram 5 Fingers has biased his judgment. I also detected a little off-putting, in his anti-government comment, "....litigiousness aspects of political causes..." I guess I need to remind him of the lawsuits against New Balance and Skechers. If a shoe company lies in their ads, they should be held accountable. I cannot cut the shoe in half to see if it is what they say it is, so I have to trust their information. I would love to see the government investigate what shoe companies mean by a "neutral" running shoe.
I do believe Dr. Peacock's statements about his use of the shoes, and how successful they have been for his running, but I hope he was not suggesting any large number of runners would be just as successful. In my practice, my experience is that minimalist shoes, all too often, are the root cause of some of my patients' reporting complaints. My theory is backed up by the fact they had no injuries when they were wearing a stability shoe, and that their reporting complaints were healed when I got them back into their stability shoes.
I do not see the "stupidshoes" craze, ending any time soon. Ego seems to have become the major factor in shoe choice, along with color, of course.
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MEETING NOTICES - PART 2
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: “ICD-10 Follies.”
Medpage Today sent me some of the “ICD-10 Follies.” Here are some I want to share:
Z89.419: Large toe that has gone unexpectedly missing. - The Houdini procedure?
Y92.146: Hurt in Prison Swimming Pool - a prison has a swimming pool?
V95.42XA: Crash Landing of Spaceship - really? Roswell?
V80.62XA: Animal-Drawn Vehicle Collides With Train - isn’t it the other way around?
F40.218: Fear of the Easter Bunny - a psychiatrist’s dream!
Source: Medpage Today via Dr. Neil H Hecht
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| CLASSIFIED ADS |
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
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
UNMATCHED GRADUATE WANTED – ST. LOUIS
Seeking an unmatched graduate for employment in podiatry practice in suburban St. Louis. The recent grad would be given the opportunity to experience and learn all the roles and challenges associated with a modern podiatry practice. Salary: 25K. Interested candidate should respond via email to: CJA137@gmail.com.
PRACTICE FOR SALE - LOS ANGELES CA
Located in Boyle Heights. It has been grossing 200k-250K last 5 years part time. 3 fully equipped podiatry rooms, PadNet, Fluoroscopy, ND YAG Laser, Autoclave, Tons of podiatry instruments, and EMR. Also will include 4 small Nursing homes in Santa Monica area. Current doctor does not do any Marketing and only relies on referrals from PCPs and Vascular MDs in the area. Must sell quickly.Priced at 85K. Please email only footdoc525@yahoo.com
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 - 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
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 - PHILADELPHIA
Great full time opportunity for a surgically trained podiatrist in a 2-office full spectrum practice. Located in the suburbs of Philadelphia. You are highly motivated, board qualified and have great communication skills. Opportunity for a buy in / partnership in 2 years. Send cover letter and CV to info@qualityfootcare.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 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 - WESTERN PA
Seeking associate with partnership availability. Must be highly motivated and have good patient skills and personality. Established practice with all aspects of podiatric surgery, wound care and medicine. Completive salary with paid benefits/incentives including malpractice/401K, bonus structure and partnership. Send CV/resume to fawcpa@gmail.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 - 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 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 - KANSAS CITY, MISSOURI
Excellent, long-term opportunity for ethical and motivated individual. Established practice featuring all aspects of podiatric medicine and surgery located in a nice, affordable city. Competitive salary with benefits and bonus structure. EMR, PadNet and diagnostic ultrasound. Position available immediately or will work with your schedule. E-mail CV to: Dr.fine@finefootcarecenter.com.
POSITIONS AVAILABLE - BUFFALO AND CONNECTICUT
Looking for podiatrists to see residents in nursing homes and skilled nursing facilities in Buffalo and Connecticut. Immediate openings available. Great opportunity for supplemental or full time income. Email inquiries to phasetwopodiatry@gmail.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 – 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 toeric.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
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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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.
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