The Voice of Podiatrists

Serving Over 11,000 Podiatrists Daily

May 19, 2009 #3,549 Publisher-Barry Block, DPM, JD

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Orthotics Overprescribed in the General Population: NY Podiatrist

Although many podiatrists routinely recommend orthotics, their increasing use is controversial—especially since the cost (usually hundreds of dollars) is rarely covered by insurance. Robert Eckles, DPM, of the New York College of Podiatric Medicine, thinks orthotics are overprescribed for the general population. The appropriate medical strategy depends on the primary cause, he says: If malfunctioning feet are caused by overtraining or overweight, orthotics aren't going to fix that.

Dr. Robert Eckles

Some practitioners also maintain that cheaper therapies—icing, stretching, less specialized shoe inserts—are as effective as prescription orthotics. Studies by Irene Davis, professor of physical therapy at the University of Delaware, found that "semi-custom" models (the lab uses a mold of the patient's feet to identify the best-fitting prefabricated insole) work as well as the totally customized, built-from-scratch kind.

Source: oprah.com [5/16/09]
 

OH Podiatrist Named Co-Director of New Wound Care Center

Ian Nunnally, MD and Brock Liden, DPM have been named co-medical directors of Berger Hospitals Wound Healing Center with Hyperbaric Oxygen Therapy. Nunnally and Liden will be responsible for reviewing patient care and results, evaluating new clinical products and providing oversight and guidance on policies and procedures.

Dr. Brock Liden

Dr. Liden is an Ohio licensed podiatrist treating ankle and foot pain. Liden received his degree from the Ohio College of Podiatric Medicine. He served his residency at the Veterans Medical Center in Cleveland, Ohio.

The Wound Healing Center, a National Healing Corporation Wound Healing Center, specializes in the treatment of chronic wounds and non-responsive conditions and offers hospital-based outpatient wound care and hyperbaric oxygen therapy.

Source: Chillicothe Gazette  [5/13/09]

Query: Reverse Weil Osteotomy

I have a patient with no fourth met head and severe pain at the 3rd and 2nd met head regions. She is too young for a Hoffman procedure and she has not responded to off-loading of the site.  Does anyone have any experience with a reverse Weil osteotomy; instead of cutting the metatarsal from distal dorsal to proximal and plantar, cutting the metatarsal proximal to the neck and aiming plantar and distal to slide the head proximally and dorsally?  

Robert S. Mandresh, DPM, Indianapolis, IN

Query: Becoming a Professional Corporation

I am contemplating becoming a professional corporation. I was advised by some of my colleagues that this could turn out to be a veritable "headache" in that I would have to fill out another Form 835 from Medicare, receive a new Medicare number, and I would have to apply for an "organization NPI" and then notify all my insurance payers of the new situation and reapply to participate with them. Some colleagues have told me that when they reapplied as a new entity, they were refused because the "panel was closed."

What is the correct way to go about this? I am a bit leery as well as confused due to all of the differing information.

Name Withheld

RE: Posterior Tib Tenosynovitis (Mark Aldrich, DPM)
From: Tip Sullivan, DPM, Richard Gosnay, DPM

Check for structural or functional tarsal tunnel syndrome. Perhaps try a posterior  tibial nerve block?

Tip Sullivan, DPM, Jackson, MS, tsdefeet@msfootcenter.net

Editor's note: Dr. Gosnay's extended-length note can be read at: http://www.podiatrym.com/letters2.cfm?id=26376&start=1

RE: Osteotomy? (Margaret Portela, DPM)
From: Richard Gosnay, DPM

Editor's note: Dr. Gosnay's extended-length note appears at: http://www.podiatrym.com/letters2.cfm?id=26377&start=1

RE: The Value of “Post” Post-Graduate Training
From: Robert Fridman, DPM

Editor's note: This extended-length letter can be read at: http://www.podiatrym.com/letters2.cfm?id=26379&start=1

Patient’s Foot Gets Stuck and She Crashes Into Office

An elderly woman smashed her car into North Shore Podiatry of Milwaukee, WI Friday afternoon after getting her foot stuck between the brake and the gas.

An Unusual Foot-Related Problem

The driver, a patient, slammed into the building on Port Washington and Bradley shattering its front windows and wall. Fortunately, no one in the office was injured.

Source: Heather Shannon, WTMJ-TV, [5/15/09]

DIAGNOSTIC ULTRASOUND FOR SALE

Mindray 6600 with Sony thermal printer. Machine comes with a 10 Mhz linear probe. Split screen allows two images on one screen. All digital machine. Comes with factory warranty for 1 year from Atlantic Medical LLC. Price when new is close to $11,000.00. Price for this machine with printer is $5,500.00. For further information see website

CASE CONSULTING

Dennis Shavelson, DPM is now accepting referrals of difficult cases involving biomechanics, surgical complications, non-healing wounds diagnostic and treatment dilemma’s and subtalar stenting from DPM’S. Full reporting with second opinion only, rapid return after care and assumption of care options. Medicare and Out-of-Network Only. (212) 288-3668 or drsha@lifestylepodiatry.com 

NEEDED CHICAGO -- NW IND & BALTIMORE/WASHINGTON, DC PODIATRISTS 

Home Physicians, a medical group specializing in house calls is looking to hire podiatrists in Chicago, Northwest Indiana, and Baltimore, MD. Full and part-time positions are available. Competitive Compensation including malpractice. Contact Scott Schneider. Phone-773-342-4201 FAX 773-486-3548-E-Mail sschneider@homephysicians.com Visit our website

PRACTICE FOR SALE - FLORIDA—CENTRAL/SOUTH

Turn-key operation grossing $570,000 annually based on one full-time doctor. Great opportunity for growing the top-line. Surgery is only 14% of the professional man-hours; it can significantly increase income. Medicare makes up 64% of revenues. Seller will assist with transition. Call 863-688-1725, ask for Chas

PODIATRISTS NEEDED – DALLAS/ FT WORTH – TEXAS AREA

Texas Home Footcare Associates, a podiatry exclusive company specializing in house calls and visits to facilities for the elderly, is looking to hire podiatrists. We are located in the Dallas area. Full and part-time positions are available. Immediate Openings Available. Must have a Current Texas license. Competitive Compensation Package. If interested fax curriculum vitae to 972 931-4819 or e-mail gjmdpm@tx.rr.com. For further information, call 972-380-8028.

ASSOCIATE POSITION - CHICAGO AREA

Join one of the most successful, long-established podiatry practices in the Chicago area, with excellent salary and benefits. We have an immediate opening for a full-time podiatrist in a multi practice location in Chicago. Must have two years of surgical residency. Please e-mail resume to f-massuda@footexperts.com 

ASSOCIATE POSITION – ILLINOIS 
 
Quality Podiatry Group provides quality services to residents at long term care facilities. We are currently offering full-time or part-time positions for motivated ethical podiatrists. Immediate openings available. If interested, fax curriculum vitae to 312 225-9366 or e-mail feetwork@aol.com

SEEKING PODIATRIST FOR SUNDAYS - HOWELL, NJ
 
Our practice of over 18 years is looking for a DPM to provide treatment on Sundays at our Howell office located approximately 1 mile from Lakewood , NJ. Speaking Hebrew preferred, but not required.  Please reply by emailing a CV and cover letter to: toetoe@optonline.net or by faxing to 1-888-645-0241.

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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 11,500 DPM's. Write to  bblock@podiatrym.com or call (718) 897-9700 for details. THIS OFFER DOES NOT APPLY TO BUSINESSES PROVIDING PRODUCTS OR SERVICES. Note: For commercial or display ads contact David Kagan at (800) 284-5451 Ext 110. 

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