The Voice of Podiatrists

Serving Over 13,500 Podiatrists Daily

May 19, 2012 #4,466 Publisher-Barry Block, DPM, JD

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CA Podiatrist Discusses Athlete's Foot

Athletes' foot, that stubborn, itchy fungal infection is most often seen between the toes and is contagious. The infection can result in cracking and peeling skin that may burn. The fungus thrives in damp socks and tight shoes and spreads in warm, moist places, such as public showers and gyms. 

Dr. Alan Jones

Use over-the-counter antifungal treatments daily until the fungus clears, plus another two weeks. Using a three-prong OTC treatment approach works best, said Dr. Alan Jones, podiatrist at Sharp Rees-Stealy Otay Ranch. He recommends using antifungal lotion on the affected skin, liquid medication on the toe nails, and medicated powder in the shoes. If you have foot fungus that doesn’t improve or worsens after self-treatment, see a podiatrist who may culture the skin to determine if symptoms are caused by athlete’s foot or another skin disorder.

Source: Source: R.J. Ignelzi, U-T San Diego [5/15/12]

CA Podiatrist Receives Highest Recognition from Scholl College

Approximately 170 alumni, faculty, students, and friends attended the 29th Annual Dr. William M. Scholl College of Podiatric Medicine Scholarship Benefit and Centennial Reception at the Fairmont Hotel in Chicago. Amol Saxena, DPM '88, received both the Scholl College Honor Medallion and the Alumnus of the Year Award. The Alumni Association, Bako Podiatric Pathology Services, Dr. Comfort, PICA, the Midwest Podiatry Conference, the Illinois Podiatric Medical Association and Pedinol Pharmacal, Inc. were recognized as scholarship sponsors.

(L-R) Scholl Dean Dr. Nancy Parsley Presents Award to Dr. Amol Saxena

Six second-year students were selected as Alumni Association scholarship recipients: Rachel Baisch (Alumni Association Scholar), Yashraj Chauhan (PICA Scholar), Amanda Harwood (Pedinol Pharmacal, Inc. Scholar), Jessica Nowak (Midwest Podiatry Conference/Illinois Podiatric Medical Association Scholar), Amy Theppote (Bako Podiatric Pathology Services Scholar), and Morgan Zellers (Dr. Comfort Scholar). The Scholl College Alumni Association also announced that it would award an additional $40,000 in scholarships to third and fourth year podiatry students. The Association will also sponsor a design competition for an alumni application for iPad and Android phones to be used on clinical rotations.

CA Podiatrist to Conduct 28th Annual Shoe Drive for the Homeless

Since 1984 Dr. Marc Spitz of the Foot Pain Center has been conducting a Shoe Drive to distribute thousands of shoes to local homeless shelters in Long Beach and Orange County. The 28th annual Shoe Drive takes place June 11-15, 2012. Dr. Spitz started the Shoe Drive program after hearing from his patients – especially from women – they often had a closet full of shoes in excellent condition that were no longer being worn.

Dr. Mark Spitz

"I thought that these shoes could be put to good use at homeless shelters. Many residents of these shelters suffer from a wide variety of foot problems from wearing improper shoes – conditions like bunions, corns, calluses and heel pain. Some have diabetes and peripheral neuropathy which is particularly dangerous if the wrong shoe style or size is worn," says Dr. Spitz. 

Source: Valerie Gotten, Neotrope News Network [5/17/12]

WA Podiatrists Speak at Spanish Foot Seminar

Drs. Mary Crawford and Dock Dockery, representing the International Foot & Ankle Foundation, were featured speakers at the XI Seminario Internacional De Cirugia sponsored by the Spanish Association of Surgical Podiatrists at the Hotel Wellington in Madrid, Spain, on May 11-12, 2012. 

(L-R) Drs. Mary Crawford and Dock Dockery present copy of their textbook to Prof. F Javier Carmona (C), President of the Spanish Association of Surgical Podiatrists.

Dr. Crawford spoke on Principles of Plastic Surgery, the V to Y Plasty, the Z and W Plasty, and Advancement Flaps. Dr. Dockery spoke on Toenail Procedures, the American Perspective, Biopsy Techniques, Transpositional Flaps, and Soft Tissue Masses.

Medical Boards' Actions Against Docs up 6.8% in 2011

Driven in part by the Florida Board of Medicine, state medical boards' disciplinary actions against physicians increased 6.8% in 2011, and 4.9% more doctors had their medical licenses or license privileges revoked or suspended, according to the Federation of State Medical Boards Summary of 2011 Board Actions.

The national increase in total serious actions could be traced in part to the Florida Board of Medicine, whose total disciplinary actions increased 54.4% to 332 from 215. This figure included a 51.6% increase in revocation of medical licenses to 144 from 95.

Source: Andis Robeznieks, Modern Healthcare [5/17/12]

Query: Joining an IPA

I was just asked to join an IPA. Does anyone have any advice? What should I look out for?  I have been independent for over 15 years and have concerns of committing to a plan that might limit my practice.

JM Cortez, DPM, Simi Valley, CA

Query: Talar Osteochondral Lesion Decompression

How should I code decompression of talar osteochondral lesion with percutaneous drilling?

Allan Hetelson, DPM, Bensalem, PA 

Response: If you are doing it arthroscopically, then you would bill CPT 29891 (arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect).

If you are just drilling without performing arthroscopy, then I would think you would use CPT 28100 (excision or curettage of bone cyst or benign tumor, talus or calcaneus), or the unlisted code, CPT 28899.

Personally, I have never done the procedure without performing arthroscopy and drilling under direct visualization, unless you were to do retrograde drilling - but in that case, you would still perform an arthroscopic synovectomy and/or debridement of the joint.

Vincent Marino, DPM, San Francisco, CA

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RE: Soft Tissue Mass (Bryan Markinson, DPM)
From: Tip Sullivan, DPM

I felt the need to respond to the last paragraph in Dr. Markinson’s last post regarding a possible malignant soft tissue tumor. Some people who read the statement: “Lastly, if you find yourself seeking advice on the surgical management of a soft tissue mass (that may be malignant) in PM News, I am reasonably sure you may get some great information. But I am positive that the patient could be in better hands.” may feel offended, intimidated, and hesitant to post here. I hope that does not happen.

This forum should be for all of us to share and we should not hesitate to share our interesting cases. I look forward to it every day. We all realize that this is just a forum and not a text book or “the written word”—Everything read here regarding patient care should be taken as “an opinion” not a hard fact - even Dr. Markinson’s posts.  As my mama used to say, “There are lots of ways to skin a cat,” and in most cases there are lots of ways to approach the problems we see. I thank Dr. Markinson and all the others who post here and would like to see more cases. As Dr. Markinson says—there is some great info here. There are also some differing opinions - as they say - that is what makes the world go round.
 
Tip Sullivan, DPM, Jackson, MS, tsdefeet@MSfootcenter.net

RE: Soft Tissue Mass (Rogert Lagman, DPM)
From: Bryan C. Markinson, DPM

Dr. Lagman states in his recent post, "I am a little disturbed though when advice is given stating that if you have to ask the question on PM News, then you probably aren’t the best person to handle the patient and refer him to someone else. I feel that this is a terrible answer. Should this be our standard answer now when a clinical question is asked on this forum?"

In fact, when I posted that "advice" I wasn't thinking of Dr. Lagman. It had already been a few days and the discussion that ensued was full of very problematic statements. In fact, some of the answers shocked me more than the original query. But since he asks the question, I would like to answer. Questions asked in this forum are a great source of debate and information gathering.

However, there is a big difference between what Dr. Lagman originally asked as opposed to...

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

RE: ZocDoc (Gary Hoberman, DPM)
From: Sean S. Ravaei, DPM, Svetlana Malinsky, DPM

I signed up with ZocDoc a few months ago. I had a horrible experience and got no patients from them. They have great telemarketing people who call you and act like they care about you. The only reason I signed up was that some big people were behind it like the founder of Amazon. I wish I had not signed up and am currently trying to get my money back.

Sean S. Ravaei, DPM, Beverly Hills, CA, drravaei@866866feet.com

ZocDoc is NOT worth the money. Yes, it seems convenient and they promise to send you many patients. However, they get you to add their link on your website and when the patient makes the appointment, you have no way of knowing if they did so from a ZocDoc referral or your own efforts (Google, etc.). Plus, many times you're just scheduling already existing patients, rather than new ones. 

Svetlana Malinsky, DPM, College Park, MD, drmalinsky@yahoo.com

RE: Sterilizing Bits Between Debridements
From: Ivar E. Roth DPM, MPH, Michael Lawrence, DPM

I agree with Dr. Kittay. There are no studies to support the board and they should have at most given him a warning letter. I suggest that anybody who has a similar problem consult their malpractice carrier, which usually covers board complaints, and fight back vigorously. Chances are that, with a competent attorney, the board will back off or reduce the punishment to a letter. In my opinion, the boards in many aspects are over-reaching and playing judge and jury, and that is wrong.
 
Ivar E. Roth, DPM, MPH, Newport Beach, CA, ifabs@earthlink.net

When Dr. Joseph speaks, I listen. And on this particular topic, I am in complete agreement and have been so for well over a decade. If there are any arguable points, and it still comes down to the jury being out, WHAT WOULD YOU WANT DONE IF IT WERE YOU OR YOUR LOVED ONE? This makes the decision pretty clear for most of us, I'd say. Properly cleaning and sterilizing the instruments we use is not at all difficult, and why should it not be an expected standard of care?

Michael Lawrence, DPM, Chattanooga, TN, ftdoc@joimail.com

RE: Shorting a Hunt Brother (Carl Solomon, DPM)
From: Charles Morelli, DPM
 
That explains why they're (The Hunts) rich. He could have just given you the C note.
 
Charles Morelli, DPM, Mamaroneck, NY

EQUIPMENT FOR SALE: EPAT 

(Extracorporeal Pulse Activation Treatment) for sale. D-Actor 200. This machine is still new. Purchased in late 2011.( new machines>30K). It is the conservative alternative to surgery. Treats Plantar Fasciitis, Heel spurs, Achilles Tendonitis, Joint pain. Great Buy. Please call 713-541-3199 for more information. or email contactus@houstonfootankle.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

PRACTICE FOR SALE - BALTIMORE, MARYLAND

Established 40+ year old well-rounded practice of both surgical and non-surgical care with special emphasis on sports medicine. Medicare and BS/private insurance base, no Medical assistance. Needs to transition to a confident well trained individual. Purchase can include building. Contact:podiatrypracticesale@gmail.com

PRACTICE FOR SALE - HOUSTON, TEXAS

30 year old busy, progressive practice for sale with an excellent reputation and well established, diverse referral base. Well trained, dedicated, supportive staff. Excellent cash flow ($400K net income after overhead). EMR, digital x-ray, diagnostic ultrasound. Free standing building also available with large outdoor sign. Owner retiring and willing to stay part time during transition. Contact:mcrosby@picagroup.com or call (888) 776 2430.

PRACTICE FOR SALE - BROOKLYN, NY

A large, busy practice is for sale in Brooklyn, NY. This practice has been in the same location for over 50 years. Average 150 pts/week, average gross 730K, most surgery is referred out. Financing available. Call 800-983-4194, or email: contactus@podiatrypracticeconsultants.com

ASSOCIATE POSITION - FLORIDA
 
Looking to hire an associate who is caring, friendly, and holds a patient in the highest regard. I am a single practitioner with a large podiatry practice in Tampa, FL. Will provide an outstanding salary with additional incentives, excellent healthcare benefits, retirement and cell phone. Please email resume to Heliodiety@aol.com or fax to 813-854-6105.

Very busy, two location group practice seeking a full-time, self motivated and hard working podiatry associate. Competitive salary and benefits are offered. Please email CV to: footcare4all@aol.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 24-36 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 - 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 - BEAUTIFUL LONG ISLAND

Business-oriented, mature Board eligible/certified podiatrist who is not just looking for a job, but a secure future. Buy-out of practice will be available. Practice does in excess of $500K. 2 hospitals available. No nursing homes, no Medicaid. Competitive package. Please fax CV to 631-581-0857.

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 – ANCHORAGE, ALASKA

Associate wanted for hospital-based podiatry group practice. Full scope of practice. Surgical residency 24month+. Outstanding opportunity, work environment, and recreational pursuits. Fax CV to 907-562-5195, please call 907-562-4958, e-mail us at contactus@alaskapodiatry.com

ASSOCIATE POSITION - OH

Join a well-established modern practice in Dayton, Ohio. Excellent reputation and referral base. Base salary $120,000, benefits and bonus structure. EMR, diagnostic ultrasound, Padnet vascular studies, CO2 lasers, all aspects of DME. We seek a surgeon that is well-trained and personable to join our group of 4 podiatric surgeons. Would like to have this individual buy in to the practice eventually. Please send CV and to Ohiodoctors@aol.com

ASSOCIATE POSITION - CALIFORNIA

Office and hospital-based podiatry group in Bakersfield, CA seeks highly-trained surgical associate to join us. Prefer surgeon with trauma and Charcot reconstructive experience. Staff privileges with 5 local hospitals. Offering health insurance, CME allowance and competitive salary. Must be PSR 24/36 trained, ethical and thoughtful when treating patients. Please forward CV to: aghams2@aol.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. Availability to become part owner of a multi-room, multi-specialty ASC. Excellent opportunity for the right doctor with potential to achieve $200K in the first year. 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 biomechanics, trauma, ESWT, PRP, wound care, and ultrasound diagnostics. Participating insurance #'s a plus. Please fax resume to:(609) 259-6637.

ASSOCIATE POSITION - ILLINOIS

Full and Part-time opportunity to provide conservative, ethical podiatric care to residents in long-term care throughout Illinois . Full time position includes health, disability, 401, auto/travel expenses. Ideal Full-time candidate would be willing to travel 2-3 days per month, or be located in central or downstate IL. We have a 30 year history of providing exceptional care and service, with appropriate reimbursement. Please email queries or resumes to gh@podiatryplus.net.

ASSOCIATE POSITION - FLORIDA

Great opportunity for new practitioner or experienced physician looking to relocate to Florida. Practice currently owned by physicians with a solid patient base after over 12 yrs of practice in this area. Current physicians transitioning to part-time (and eventual retirement from the practice) in order to pursue other business opportunities. Seeking a friendly, dependable, independent ‘go-getter’ who can transition in as seamlessly as possible with staff and patients while maintaining the high-quality foot/ankle care on which our reputation was founded. Start turn-key without need of a bank loan. For more information or to express your interest, please forward your CV to: podiatristsearch@gmail.com

ASSOCIATE POSITION - WORCESTER MASSACHUSETTS

Podiatry practice in Worcester Massachusetts is looking for an associate podiatrist. Busy 2-person practice. High surgical numbers. No nursing homes. Call to hear free recorded message for more information. Call 641.715.3800 Access Code 32299 and message 4 to learn about the practice. Visit our website www.centralmasspodiatry.com

ASSOCIATE POSITION - VICTORIA, BC

Beautiful Victoria, B.C. Canada on the ocean, fast growing area. Associate for multi-office full scope practice. Reply to dr.cole@shaw.ca

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.

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.

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